Compounds and methods for the targeted degradation of fetal liver kinase polypeptides

ABSTRACT

The present disclosure relates to bifunctional compounds, which find utility as modulators of FLT3 (target protein). In particular, the present disclosure is directed to bifunctional compounds, which contain on one end a Von Hppel-Lindau, cereblon, ligand which binds to the E3 ubiquitin ligase and on the other end a moiety which binds the target protein FLT3, such that the target protein is placed in proximity to the ubiquitin ligase to effect degradation (and inhibition) of target protein. The present disclosure exhibits a broad range of pharmacological activities associated with degradation/inhibition of the target protein. Diseases or disorders that result from aggregation or accumulation of the target protein are treated or prevented with compounds and compositions of the present disclosure.

CROSS-REFERENCE TO RELATED APPLICATIONS

The present disclosure claims priority to U.S. Provisional Patent Application 62/438,844, filed 23 Dec. 2016, titled: COMPOUNDS AND METHODS FOR THE TARGETED DEGRADATION OF FETAL LIVER KINASE POLYPEPTIDES, and U.S. Provisional Patent Application 62/450,716, filed 26 Jan. 2017, titled: COMPOUNDS AND METHODS FOR THE TARGETED DEGRADATION OF FETAL LIVER KINASE POLYPEPTIDES, both of which are incorporated herein by reference in their entireties for all purposes.

STATEMENT REGARDING FEDERALLY FUNDED RESEARCH

This invention was made with government support under grant number NIH R35CA197589, as issued by the National Institutes of Health. The government has certain rights in the invention.

INCORPORATION BY REFERENCE

U.S. patent application Ser. No. 15/230,354, filed on Aug. 5, 2016; and U.S. patent application Ser. No. 15/206,497 filed 11 Jul. 2016; and U.S. patent application Ser. No. 15/209,648 filed 13 Jul. 2016; and U.S. Patent Application Ser. No. 62/406,888, filed on Oct. 11, 2016; and U.S. patent application Ser. No. 14/686,640, filed on Apr. 14, 2015, published as U.S. Patent Application Publication No. 2015/0291562; and U.S. patent application Ser. No. 14/792,414, filed on Jul. 6, 2015, published as U.S. Patent Application Publication No. 2016/0058872; and U.S. patent application Ser. No. 14/371,956, filed on Jul. 11, 2014, published as U.S. Patent Application Publication No. 2014/0356322; and U.S. patent application Ser. No. 15/074,820, filed on Mar. 18, 2016, published as U.S. Patent Application Publication No. 2016/0272639, are incorporated herein by reference in their entirety. Furthermore, all references cited herein are incorporated by reference herein in their entirety.

FIELD OF THE INVENTION

The description provides bifunctional compounds comprising a target protein binding moiety for FMS-like receptor tyrosine kinase (FLT3) or mutant versions thereof and a E3 ubiquitin ligase binding moiety, and associated methods of use. The bifunctional compounds are useful as modulators of targeted ubiquitination of FLT3 (and mutants thereof), which is degraded and/or otherwise inhibited by bifunctional compounds according to the present disclosure.

BACKGROUND

Most small molecule drugs bind enzymes or receptors in tight and well-defined pockets. On the other hand, protein-protein interactions are notoriously difficult to target using small molecules due to their large contact surfaces and the shallow grooves or flat interfaces involved. E3 ubiquitin ligases (of which hundreds are known in humans) confer substrate specificity for ubiquitination, and therefore, are more attractive therapeutic targets than general proteasome inhibitors due to their specificity for certain protein substrates. The development of ligands of E3 ligases has proven challenging, in part due to the fact that they must disrupt protein-protein interactions. However, recent developments have provided specific ligands which bind to these ligases. For example, since the discovery of nutlins, the first small molecule E3 ligase inhibitors, additional compounds have been reported that target E3 ligases but the field remains underdeveloped. For example, since the discovery of Nutlins, the first small molecule E3 ligase mouse double minute 2 homolog (MDM2) inhibitors, additional compounds have been reported that target MDM2 (i.e., human double minute 2 or HDM2) E3 ligases (J. Di, et al. Current Cancer Drug Targets (2011), 11(8), 987-994).

Tumor suppressor gene p53 plays an important role in cell growth arrest and apoptosis in response to DNA damage or stress (A. Vazquez, et al. Nat. Rev. Drug. Dis. (2008), 7, 979-982), and inactivation of p53 has been suggested as one of the major pathway for tumor cell survival (A. J. Levine, et al. Nature (2000), 408, 307-310). In cancer patients, about 50% were found with p53 mutation (M. Hollstein, et al. Science (1991), 233, 49-53), while patients with wild type p53 were often found p53 down regulation by MDM2 through the protein-protein interaction of p53 and MDM2 (P. Chene, et al. Nat. Rev. Cancer (2003), 3, 102-109). Under normal cell condition without oncogenic stress signal, MDM2 keeps p53 at low concentration. In response to DNA damage or cellular stress, p53 level increases, and that also causes increase in MDM2 due to the feedback loop from p53/MDM2 auto regulatory system. In other words, p53 regulates MDM2 at the transcription level, and MDM2 regulates p53 at its activity level (A. J. Levine, et al. Genes Dev. (1993) 7, 1126-1132).

Several mechanisms can explain p53 down regulation by MDM2. First, MDM2 binds to N-terminal domain of p53 and blocks expression of p53-responsive genes (J. Momand, et al. Cell (1992), 69, 1237-1245). Second, MDM2 shuttles p53 from nucleus to cytoplasm to facilitate proteolytic degradation (J. Roth, et al. EMBO J. (1998), 17, 554-564). Lastly, MDM2 carries intrinsic E3 ligase activity of conjugating ubiquitin to p53 for degradation through ubiquitin-dependent 26s proteasome system (UPS) (Y. Haupt, et al. Nature (1997) 387, 296-299). As such, because MDM2 functions as E3 ligase, recruiting MDM2 to a disease causing protein and effectuating its ubiquitination and degradation is an approach of high interest for drug discovery.

One E3 ligase with exciting therapeutic potential is the von Hippel-Lindau (VHL) tumor suppressor, the substrate recognition subunit of the E3 ligase complex VCB, which also consists of elongins B and C, Cul2 and Rbx1. The primary substrate of VHL is Hypoxia Inducible Factor 1α (HIF-1α), a transcription factor that upregulates genes such as the pro-angiogenic growth factor VEGF and the red blood cell inducing cytokine erythropoietin in response to low oxygen levels. The first small molecule ligands of Von Hippel Lindau (VHL) to the substrate recognition subunit of the E3 ligase were generated, and crystal structures were obtained confirming that the compound mimics the binding mode of the transcription factor HIF-1α, the major substrate of VHL.

Cereblon is a protein that in humans is encoded by the CRBN gene. CRBN orthologs are highly conserved from plants to humans, which underscores its physiological importance. Cereblon forms an E3 ubiquitin ligase complex with damaged DNA binding protein 1 (DDB1), Cullin-4A (CUL4A), and regulator of cullins 1 (ROCl). This complex ubiquitinates a number of other proteins. Through a mechanism which has not been completely elucidated, cereblon ubquitination of target proteins results in increased levels of fibroblast growth factor 8 (FGF8) and fibroblast growth factor 10 (FGF10). FGF8 in turn regulates a number of developmental processes, such as limb and auditory vesicle formation. The net result is that this ubiquitin ligase complex is important for limb outgrowth in embryos. In the absence of cereblon, DDB1 forms a complex with DDB2 that functions as a DNA damage-binding protein.

Inhibitors of Apotosis Proteins (IAPs) are a protein family involved in suppressing apoptosis, i.e. cell death. The human IAP family includes 8 members, and numerous other organisms contain IAP homologs. IAPs contain an E3 ligase specific domain and baculoviral IAP repeat (BIR) domains that recognize substrates, and promote their ubiquitination. IAPs promote ubiquitination and can directly bind and inhibit caspases. Caspases are proteases (e.g. caspase-3, caspase-7 and caspace-9) that implement apoptosis. As such, through the binding of caspases, IAPs inhibit cell death. However, pro-apoptotic stimuli can result in the release of mitochondrial proteins DIABLO (also known as second mitrochondria-derived activator of caspases or SMAC) and HTRA2 (also known as Omi). Binding of DIABLO and HTRA2 appears to block IAP activity.

SMAC interacts with essentially all known IAPs including XIAP, c-IAP1, c-IAP2, NIL-IAP, Bruce, and survivin. The first four amino acids (AVPI) of mature SMAC bind to a portion of IAPs, which is believed to be essential for blocking the anti-apoptotic effects of IAPs.

Bifunctional compounds such as those that are described in U.S. Patent Application Publications 2015-0291562 and 2014-0356322 (incorporated herein by reference), function to recruit endogenous proteins to an E3 ubiquiuin ligase for degradation. In particular, the publications describe bifunctional or proteolysis targeting chimeric (PROTAC) compounds, which find utility as modulators of targeted ubiquitination of a variety of polypeptides and other proteins, which are then degraded and/or otherwise inhibited by the bifunctional compounds.

FMS-like tyrosine kinase 3 (FLT3) is a class III receptor tyrosine kinase. It is activated by the FLT3 ligand and signals through the PI3K, RAS, and JAK/STAT pathways. FLT3 plays a role in early hematopoiesis and FLT3 deficient mice have reduced numbers of progenitors of multiple lymphoid lineages. FLT3 and FLT3 ligand have been shown to play a role in a number of human leukocyte malignancies including acute myelogenous leukemia (AML), acute promyelocytic leukemia (APL), B and T cell acute lymphoblastic leukemia (ALL), chronic myelogenous leukemia (CML), and myelodysplasia (MDS). This may result from constitutive activation of the receptor due to mutations, resulting in cellular proliferation and blocking of myeloid differentiation.

For example, activating mutations in FLT3 are found in approximately 30% of AML patients, representing the most frequent genetic alteration in the disease. About 75% of the activating mutations are internal tandem duplications (ITD) and 25% are point mutations in the activation loop of the kinase domain. The most frequently identified activating point mutation is D835Y. However, mutations have also been found at N841I and Y842C. Additional point mutations have been identified in the juxtamembrane domain and kinase domain, although these have been shown to result in lower transforming potential.

Murine bone marrow transplanted with a retrovirus expressing the FLT3-ITD has been shown to result in the production of a lethal myeloproliferative disease in mice characterized by leukocytosis consisting of mature neutrophils. This disease did not show a block in differentiation as seen in human AML suggesting that FLT3 mutations confer a proliferative or survival advantage to the cells.

An ongoing need exists in the art for effective treatments for disease associated with overexpression or aggregation of FLT3. However, non-specific effects, and the inability to specifically target and modulate FLT3, remain as obstacles to the development of effective treatments. As such, small-molecule therapeutic agents that target FLT3 and leverage or potentiate VHL's, cereblon's, MDM2's, and IAPs' substrate specificity would be very useful.

SUMMARY

The present disclosure describes bifunctional compounds which function to recruit endogenous proteins to an E3 ubiquitin ligase for degradation, and methods of using the same. In particular, the present disclosure provides bifunctional or proteolysis targeting chimeric (PROTAC) compounds, which find utility as modulators of targeted ubiquitination of a variety of polypeptides and other proteins, which are then degraded and/or otherwise inhibited by the bifunctional compounds as described herein. An advantage of the compounds provided herein is that a broad range of pharmacological activities is possible, consistent with the degradation/inhibition of targeted polypeptides from virtually any protein class or family. In addition, the description provides methods of using an effective amount of the compounds as described herein for the treatment or amelioration of a disease condition, such as cancer, e.g., acute myeloid leukemia (AML).

As such, in one aspect the disclosure provides bifunctional or PROTAC compounds, which comprise an E3 ubiquitin ligase binding moiety (i.e., a ligand for an E3 ubquitin ligase or “ULM” group), and a moiety that binds a target protein (i.e., a protein/polypeptide targeting ligand or “PTM” group) such that the target protein/polypeptide is placed in proximity to the ubiquitin ligase to effect degradation (and inhibition) of that protein. In a preferred embodiment, the ULM (ubiquitination ligase modulator) can be Von Hippel-Lindau E3 ubiquitin ligase (VHL) binding moiety (VLM), or a cereblon E3 ubiquitin ligase binding moiety (CLM), or a mouse double miniute 2 homolog (MDM2) E3 ubiquitin ligase binding moiety (MLM), or an IAP E3 ubiquitin ligase binding moiety (i.e., a “ILM”). For example, the structure of the bifunctional compound can be depicted as:

The respective positions of the PTM and ULM moieties (e.g., VLM, CLM, MLM or ILM) as well as their number as illustrated herein is provided by way of example only and is not intended to limit the compounds in any way. As would be understood by the skilled artisan, the bifunctional compounds as described herein can be synthesized such that the number and position of the respective functional moieties can be varied as desired.

In certain embodiments, the bifunctional compound further comprises a chemical linker (“L”). In this example, the structure of the bifunctional compound can be depicted as:

where PTM is a protein/polypeptide targeting moiety, L is a linker, e.g., a bond or a chemical group coupling PTM to ULM, and ULM is a IAP E3 ubiquitin ligase binding moiety, or a Von Hippel-Lindau E3 ubiquitin ligase (VHL) binding moiety (VLM), or a cereblon E3 ubiquitin ligase binding moiety (CLM), or a mouse double minute 2 homolog (MDM2) E3 ubiquitin ligase binding moiety (MLM).

For example, the structure of the biofunctional compound can be depicted as:

wherein: PTM is a protein/polypeptide targeting moiety; “L” is a linker (e.g. a bond or a chemical linker group) coupling the PTM and at least one of VLM, CLM, MLM, ILM, or a combination thereif; VLM is Von Hippel-Lindau E3 ubiquitin ligase binding moiety that binds to VHL E3 ligase; CLM is cereblon E3 ubiquitin ligase binding moiety that binds to cereblon; MLM is an MDM2 E3 ubiquitin ligase binding moiety; and ILM is a IAP binding moiety which binds to IAP;

In certain preferred embodiments, the ILM is an AVPI tetrapeptide fragment. As such, in certain additional embodiments, the ILM of the bifunctional compound comprises the amino acids alanine (A), valine (V), proline (P), and isoleucine (I) or their unnatural mimetics, respectively. In additional embodiments, the amino acids of the AVPI tetrapeptide fragment are connected to each other through amide bonds (i.e., —C(O)NH— or —NHC(O)—).

In certain embodiments, the compounds as described herein comprise multiple independently selected ULMs, multiple PTMs, multiple chemical linkers or a combination thereof.

In certain embodiments, ILM comprises chemical moieties such as those described herein.

In additional embodiments, VLM can be hydroxyproline or a derivative thereof. Furthermore, other contemplated VLMs are included in U.S. Patent Application Pub. No. 2014-03022523, which as discussed above, is incorporated herein in its entirety.

In an embodiment, the CLM comprises a chemical group derived from an imide, a thioimide, an amide, or a thioamide. In a particular embodiment, the chemical group is a phthalimido group, or an analog or derivative thereof. In a certain embodiment, the CLM is thalidomide, lenalidomide, pomalidomide, analogs thereof, isosteres thereof, or derivatives thereof. Other contemplated CLMs are described in U.S. Patent Application Publication US 2015-0291562, which is incorporated herein in its entirety.

In certain embodiments, MLM can be nutlin or a derivative thereof. Furthermore, other contemplated MLMs are included in U.S. patent application Ser. No. 15/206,497 filed 11 Jul. 2016, which as discussed above, is incorporated herein in its entirety. In certain additional embodiments, the MLM of the bifunctional compound comprises chemical moieties such as substituted imidazolines, substituted spiro-indolinones, substituted pyrrolidines, substituted piperidinones, substituted morpholinones, substituted pyrrolopyrimidines, substituted imidazolopyridines, substituted thiazoloimidazoline, substituted pyrrolopyrrolidinones, and substituted isoquinolinones.

In additional embodiments, the MLM comprises the core structures mentioned above with adjacent bis-aryl substitutions positioned as cis- or trans-configurations.

In certain embodiments, “L” is a bond. In additional embodiments, the linker “L” is a connector with a linear non-hydrogen atom number in the range of 1 to 20. The connector “L” can contain, but not limited to the functional groups such as ether, amide, alkane, alkene, alkyne, ketone, hydroxyl, carboxylic acid, thioether, sulfoxide, and sulfone. The linker can contain aromatic, heteroaromatic, cyclic, bicyclic and tricyclic moieties. Substitution with halogen, such as Cl, F, Br and I can be included in the linker. In the case of fluorine substitution, single or multiple fluorines can be included.

In certain embodiments, VLM is a derivative of trans-3-hydroxyproline, where both nitrogen and carboxylic acid in trans-3-hydroxyproline are functionalized as amides.

In certain embodiments, CLM is a derivative of piperidine-2,6-dione, where piperidine-2,6-dione can be substituted at the 3-position, and the 3-substitution can be bicyclic hetero-aromatics with the linkage as C—N bond or C—C bond. Examples of CLM can be, but not limited to, pomalidomide, lenalidomide and thalidomide and their derivatives.

In an additional aspect, the description provides therapeutic compositions comprising an effective amount of a compound as described herein or salt form thereof, and a pharmaceutically acceptable carrier. The therapeutic compositions modulate protein degradation in a patient or subject, for example, an animal such as a human, and can be used for treating or ameliorating disease states or conditions which are modulated through the degraded protein. In certain embodiments, the therapeutic compositions as described herein may be used to effectuate the degradation of proteins of interest for the treatment or amelioration of a disease, e.g., cancer. In yet another aspect, the present disclosure provides a method of ubiquitinating/degrading a target protein in a cell. In certain embodiments, the method comprises administering a bifunctional compound as described herein comprising an ILM and a PTM, a PTM and a VLM, or a PTM and a CLM, or a PTM and a MLM, preferably linked through a linker moiety, as otherwise described herein, wherein the VLM/ILM/CLM/MLM is coupled to the PTM through a linker to target protein that binds to PTM for degradation. Similarly, wherein PTM is coupled to VLM or CLM or MLM or ILM through a linker to target a protein or polypeptide for degradation. Degradation of the target protein will occur when the target protein is placed in proximity to the E3 ubiquitin ligase, thus resulting in degradation/inhibition of the effects of the target protein and the control of protein levels. The control of protein levels afforded by the present disclosure provides treatment of a disease state or condition, which is modulated through the target protein by lowering the level of that protein in the cells of a patient.

In still another aspect, the description provides methods for treating or ameliorating a disease, disorder or symptom thereof in a subject or a patient, e.g., an animal such as a human, comprising administering to a subject in need thereof a composition comprising an effective amount, e.g., a therapeutically effective amount, of a compound as described herein or salt form thereof, and a pharmaceutically acceptable carrier, wherein the composition is effective for treating or ameliorating the disease or disorder or symptom thereof in the subject.

In another aspect, the description provides methods for identifying the effects of the degradation of proteins of interest in a biological system using compounds according to the present disclosure.

The preceding general areas of utility are given by way of example only and are not intended to be limiting on the scope of the present disclosure and appended claims. Additional objects and advantages associated with the compositions, methods, and processes of the present disclosure will be appreciated by one of ordinary skill in the art in light of the instant claims, description, and examples. For example, the various aspects and embodiments of the disclosure may be utilized in numerous combinations, all of which are expressly contemplated by the present description. These additional aspects and embodiments are expressly included within the scope of the present disclosure. The publications and other materials used herein to illuminate the background of the invention, and in particular cases, to provide additional details respecting the practice, are incorporated by reference.

BRIEF DESCRIPTION OF THE DRAWINGS

The accompanying drawings, which are incorporated into and form a part of the specification, illustrate several embodiments of the present invention and, together with the description, serve to explain the principles of the invention. The drawings are only for the purpose of illustrating an embodiment of the invention and are not to be construed as limiting the invention. Further objects, features and advantages of the invention will become apparent from the following detailed description taken in conjunction with the accompanying figures showing illustrative embodiments of the invention, in which:

FIGS. 1A and 1B. Illustration of general principle for PROTAC function. (A) Exemplary PROTACs comprise a protein targeting moiety (PTM; darkly shaded rectangle), a ubiquitin ligase binding moiety (ULM; lightly shaded triangle), and optionally a linker moiety (L; black line) coupling or tethering the PTM to the ULM. (B) Illustrates the functional use of the PROTACs as described herein. Briefly, the ULM recognizes and binds to a specific E3 ubiquitin ligase, and the PTM binds and recruits a target protein, such as FMS-like receptor tyrosine kinase (FLT3), bringing it into close proximity to the E3 ubiquitin ligase. Typically, the E3 ubiquitin ligase is complexed with an E2 ubiquitin-conjugating protein, and either alone or via the E2 protein catalyzes attachment of ubiquitin (dark circles) to a lysine on the target protein via an isopeptide bond. The poly-ubiquitinated protein (far right) is then targeted for degration by the proteosomal machinery of the cell.

FIG. 2. FLT-3 protein degradation in cells treated with either a bifunctional compound of the present disclosure or Quizartinib is shown.

FIGS. 3A and 3B. Bifunctional compound of the present disclosure induced apoptosis as illustrated by caspase-3 cleavage.

FIGS. 4A, 4B, and 4C. Molm 14 WT (A) and MV4-11 (B and C) cell survival is shown when treated with either a bifunctional compound of the present disclosure or Quizartinib.

FIG. 5. Pharmacokinetic profile for PROTAC-34 administered by intravenous injection or intraperitoneal injection in CD1 mice.

FIG. 6. KINOMEscan™ Dendrogram for PROTAC-34.

FIGS. 7A and 7B. FLT-3 protein degradation and pSTAT5 status in xenograft tumors from athymic mice treated with a bifunctional compound of the present disclosure is shown in FIG. 7A and quantified in FIG. 7B.

DETAILED DESCRIPTION

The following is a detailed description provided to aid those skilled in the art in practicing the present invention. Those of ordinary skill in the art may make modifications and variations in the embodiments described herein without departing from the spirit or scope of the present disclosure. All publications, patent applications, patents, figures and other references mentioned herein are expressly incorporated by reference in their entirety.

Presently described are compositions and methods that relate to the surprising and unexpected discovery that an E3 ubiquitin ligase protein (e.g., inhibitors of apoptosis proteins (IAP), a Von Hippel-Lindau E3 ubiquitin ligase (VHL), a cereblon E3 ubiquitin ligase, or a mouse double minute 2 homolog (MDM2) E3 ubiquitin ligase) ubiquitinates a target protein once it and the target protein are placed in proximity by a bifunctional or chimeric construct that binds the E3 ubiquitin ligase protein and the target protein. Accordingly the present disclosure provides such compounds and compositions comprising an E3 ubiquintin ligase binding moiety (“ULM”) coupled to a protein target binding moiety (“PTM”), which result in the ubiquitination of a chosen target protein (such as FMS-like receptor tyrosine kinase [FLT3]), which leads to degradation of the target protein by the proteasome (see FIGS. 1A and 1B). The present disclosure also provides a library of compositions and the use thereof.

In certain aspects, the present disclosure provides compounds which comprise a ligand, e.g., a small molecule ligand (i.e., having a molecular weight of below 2,000, 1,000, 500, or 200 Daltons), which is capable of binding to a ubiquitin ligase, such as IAP, VHL, MDM2, or cereblon. The compounds also comprise a moiety that is capable of binding to target protein, in such a way that the target protein is placed in proximity to the ubiquitin ligase to effect degradation (and/or inhibition) of that protein. Small molecule can mean, in addition to the above, that the molecule is non-peptidyl, that is, it is not generally considered a peptide, e.g., comprises fewer than 4, 3, or 2 amino acids. In accordance with the present description, the PTM, ULM or PROTAC molecule can be a small molecule.

Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. The terminology used in the description is for describing particular embodiments only and is not intended to be limiting of the invention.

Where a range of values is provided, it is understood that each intervening value, to the tenth of the unit of the lower limit unless the context clearly dictates otherwise (such as in the case of a group containing a number of carbon atoms in which case each carbon atom number falling within the range is provided), between the upper and lower limit of that range and any other stated or intervening value in that stated range is encompassed within the invention. The upper and lower limits of these smaller ranges may independently be included in the smaller ranges is also encompassed within the invention, subject to any specifically excluded limit in the stated range. Where the stated range includes one or both of the limits, ranges excluding either both of those included limits are also included in the invention.

The following terms are used to describe the present invention. In instances where a term is not specifically defined herein, that term is given an art-recognized meaning by those of ordinary skill applying that term in context to its use in describing the present invention.

The articles “a” and “an” as used herein and in the appended claims are used herein to refer to one or to more than one (i.e., to at least one) of the grammatical object of the article unless the context clearly indicates otherwise. By way of example, “an element” means one element or more than one element.

The phrase “and/or,” as used herein in the specification and in the claims, should be understood to mean “either or both” of the elements so conjoined, i.e., elements that are conjunctively present in some cases and disjunctively present in other cases. Multiple elements listed with “and/or” should be construed in the same fashion, i.e., “one or more” of the elements so conjoined. Other elements may optionally be present other than the elements specifically identified by the “and/or” clause, whether related or unrelated to those elements specifically identified. Thus, as a non-limiting example, a reference to “A and/or B”, when used in conjunction with open-ended language such as “comprising” can refer, in one embodiment, to A only (optionally including elements other than B); in another embodiment, to B only (optionally including elements other than A); in yet another embodiment, to both A and B (optionally including other elements); etc.

As used herein in the specification and in the claims, “or” should be understood to have the same meaning as “and/or” as defined above. For example, when separating items in a list, “or” or “and/or” shall be interpreted as being inclusive, i.e., the inclusion of at least one, but also including more than one, of a number or list of elements, and, optionally, additional unlisted items. Only terms clearly indicated to the contrary, such as “only one of” or “exactly one of,” or, when used in the claims, “consisting of,” will refer to the inclusion of exactly one element of a number or list of elements. In general, the term “or” as used herein shall only be interpreted as indicating exclusive alternatives (i.e., “one or the other but not both”) when preceded by terms of exclusivity, such as “either,” “one of,” “only one of,” or “exactly one of.”

In the claims, as well as in the specification above, all transitional phrases such as “comprising,” “including,” “carrying,” “having,” “containing,” “involving,” “holding,” “composed of,” and the like are to be understood to be open-ended, i.e., to mean including but not limited to. Only the transitional phrases “consisting of” and “consisting essentially of” shall be closed or semi-closed transitional phrases, respectively, as set forth in the United States Patent Office Manual of Patent Examining Procedures, Section 2111.03.

As used herein in the specification and in the claims, the phrase “at least one,” in reference to a list of one or more elements, should be understood to mean at least one element selected from anyone or more of the elements in the list of elements, but not necessarily including at least one of each and every element specifically listed within the list of elements and not excluding any combinations of elements in the list of elements. This definition also allows that elements may optionally be present other than the elements specifically identified within the list of elements to which the phrase “at least one” refers, whether related or unrelated to those elements specifically identified. Thus, as a nonlimiting example, “at least one of A and B” (or, equivalently, “at least one of A or B,” or, equivalently “at least one of A and/or B”) can refer, in one embodiment, to at least one, optionally including more than one, A, with no B present (and optionally including elements other than B); in another embodiment, to at least one, optionally including more than one, B, with no A present (and optionally including elements other than A); in yet another embodiment, to at least one, optionally including more than one, A, and at least one, optionally including more than one, B (and optionally including other elements); etc.

It should also be understood that, in certain methods described herein that include more than one step or act, the order of the steps or acts of the method is not necessarily limited to the order in which the steps or acts of the method are recited unless the context indicates otherwise.

The terms “co-administration” and “co-administering” or “combination therapy” refer to both concurrent administration (administration of two or more therapeutic agents at the same time) and time varied administration (administration of one or more therapeutic agents at a time different from that of the administration of an additional therapeutic agent or agents), as long as the therapeutic agents are present in the patient to some extent, preferably at effective amounts, at the same time. In certain preferred aspects, one or more of the present compounds described herein, are coadministered in combination with at least one additional bioactive agent, especially including an anticancer agent. In particularly preferred aspects, the co-administration of compounds results in synergistic activity and/or therapy, including anticancer activity.

The term “compound”, as used herein, unless otherwise indicated, refers to any specific chemical compound disclosed herein and includes tautomers, regioisomers, geometric isomers, and where applicable, stereoisomers, including optical isomers (enantiomers) and other stereoisomers (diastereomers) thereof, as well as pharmaceutically acceptable salts and derivatives, including prodrug and/or deuterated forms thereof where applicable, in context. Deuterated small molecules contemplated are those in which one or more of the hydrogen atoms contained in the drug molecule have been replaced by deuterium.

Within its use in context, the term compound generally refers to a single compound, but also may include other compounds such as stereoisomers, regioisomers and/or optical isomers (including racemic mixtures) as well as specific enantiomers or enantiomerically enriched mixtures of disclosed compounds. The term also refers, in context to prodrug forms of compounds which have been modified to facilitate the administration and delivery of compounds to a site of activity. It is noted that in describing the present compounds, numerous substituents and variables associated with same, among others, are described. It is understood by those of ordinary skill that molecules which are described herein are stable compounds as generally described hereunder. When the bond is shown, both a double bond and single bond are represented or understood within the context of the compound shown and well-known rules for valence interactions.

The term “ubiquitin ligase” refers to a family of proteins that facilitate the transfer of ubiquitin to a specific substrate protein, targeting the substrate protein for degradation. For example, IAP an E3 ubiquitin ligase protein that alone or in combination with an E2 ubiquitin-conjugating enzyme causes the attachment of ubiquitin to a lysine on a target protein, and subsequently targets the specific protein substrates for degradation by the proteasome. Thus, E3 ubiquitin ligase alone or in complex with an E2 ubiquitin conjugating enzyme is responsible for the transfer of ubiquitin to targeted proteins. In general, the ubiquitin ligase is involved in polyubiquitination such that a second ubiquitin is attached to the first; a third is attached to the second, and so forth. Polyubiquitination marks proteins for degradation by the proteasome. However, there are some ubiquitination events that are limited to mono-ubiquitination, in which only a single ubiquitin is added by the ubiquitin ligase to a substrate molecule. Mono-ubiquitinated proteins are not targeted to the proteasome for degradation, but may instead be altered in their cellular location or function, for example, via binding other proteins that have domains capable of binding ubiquitin. Further complicating matters, different lysines on ubiquitin can be targeted by an E3 to make chains. The most common lysine is Lys48 on the ubiquitin chain. This is the lysine used to make polyubiquitin, which is recognized by the proteasome.

The term “patient” or “subject” is used throughout the specification to describe an animal, preferably a human or a domesticated animal, to whom treatment, including prophylactic treatment, with the compositions according to the present disclosure is provided. For treatment of those infections, conditions or disease states which are specific for a specific animal such as a human patient, the term patient refers to that specific animal, including a domesticated animal such as a dog or cat or a farm animal such as a horse, cow, sheep, etc. In general, in the present disclosure, the term patient refers to a human patient unless otherwise stated or implied from the context of the use of the term.

The term “effective” is used to describe an amount of a compound, composition or component which, when used within the context of its intended use, effects an intended result. The term effective subsumes all other effective amount or effective concentration terms, which are otherwise described or used in the present application.

Compounds and Compositions

In one aspect, the description provides compounds comprising an E3 ubiquitin ligase binding moiety (“ULM”) that is an IAP E3 ubiquitin ligase binding moiety (an “ILM”), a cereblon E3 ubiquitin ligase binding moiety (a “CLM”), a Von Hippel-Lindae E3 ubiquitin ligase (VHL) binding moiety (VLM), and/or a mouse bould minute 2 homologue (MDM2) E3 ubiquitin ligase binding moiety (MLM). In an exemplary embodiment, the ULM is coupled to a target protein binding moiety (PTM) via a chemical linker (L) according to the structure:

PTM-L-ULM  (A)

wherein L is a bond or a chemical linker group, ULM is a E3 ubiquitin ligase binding moiety, and PTM is a target protein binding moiety. The number and/or relative positions of the moieties in the compounds illustrated herein is provided by way of example only. As would be understood by the skilled artisan, compounds described herein can be synthesized with any desired number and/or relative position of the respective functional moieties.

The terms ULM, ILM, VLM, MLM, and CLM are used in their inclusive sense unless the context indicates otherwise. For example, the term ULM is inclusive of all ULMs, including those that bind IAP (i.e., ILMs), MDM2 (i.e., MLM), cereblon (i.e., CLM), and VHL (i.e., VLM). Further, the term ILM is inclusive of all possible IAP E3 ubiquitin ligase binding moieties, the term MLM is inclusive of all possible MDM2 E3 ubiquitin ligase binding moieties, the term VLM is inclusive of all possible VHL binding moieties, and the term CLM is inclusive of all cereblon binding moieties.

In another aspect, the present disclosure provides bifunctional or multifunctional compounds (e.g., PROTACs) useful for regulating protein activity by inducing the degradation of a target protein. In certain embodiments, the compound comprises an ILM or a VLM or a CLM or a MLM coupled, e.g., linked covalently, directly or indirectly, to a moiety that binds a target protein (i.e., a protein targeting moiety or a “PTM”). In certain embodiments, the ILM/VLM/CLM/MLM and PTM are joined or coupled via a chemical linker (L). The ILM binds the IAP E3 ubiquitin ligase, the VLM binds VHL, CLM binds the cereblon E3 ubiquitin ligase, and MLM binds the MDM2 E3 ubiquitin ligase, and the PTM recognizes a target protein and the interaction of the respective moieties with their targets facilitates the degradation of the target protein by placing the target protein in proximity to the ubiquitin ligase protein. An exemplary bifunctional compound can be depicted as:

PTM-ILM  (B)

PTM-CLM  (C)

PTM-VLM  (D)

PTM-MLM  (E)

In certain embodiments, the bifunctional compound further comprises a chemical linker (“L”). For example, the bifunctional compound can be depicted as:

PTM-L-ILM  (F)

PTM-L-CLM  (G)

PTM-L-VLM  (H)

PTM-L-MLM  (I)

wherein the PTM is a protein/polypeptide targeting moiety, the L is a chemical linker, the ILM is a IAP E3 ubiquitin ligase binding moiety, the CLM is a cereblon E3 ubiquitin ligase binding moiety, the VLM is a VHL binding moiety, and the MLM is a MDM2 E3 ubiquitin ligase binding moiety.

In certain embodiments, the ULM (e.g., a ILM, a CLM, a VLM, or a MLM) shows activity or binds to the E3 ubiquitin ligase (e.g., IAP E3 ubiquitin ligase, cereblon E3 ubiquitin ligase, VHL, or MDM2 E3 ubiquitin ligase) with an IC₅₀ of less than about 200 μM. The IC₅₀ can be determined according to any method known in the art, e.g., a fluorescent polarization assay.

In certain additional embodiments, the bifunctional compounds described herein demonstrate an activity with an IC₅₀ of less than about 100, 50, 10, 1, 0.5, 0.1, 0.05, 0.01, 0.005, 0.001 mM, or less than about 100, 50, 10, 1, 0.5, 0.1, 0.05, 0.01, 0.005, 0.001 μM, or less than about 100, 50, 10, 1, 0.5, 0.1, 0.05, 0.01, 0.005, 0.001 nM, or less than about 100, 50, 10, 1, 0.5, 0.1, 0.05, 0.01, 0.005, 0.001 pM.

In certain embodiments, the compounds as described herein comprise multiple PTMs (targeting the same or different protein targets), multiple ULMs, one or more ULMs (i.e., moieties that bind specifically to multiple/different E3 ubiquitin ligase, e.g., VHL, IAP, cereblon, and/or MDM2) or a combination thereof. In any of the aspects of embodiments described herein, the PTMs and ULMs (e.g., ILM, VLM, CLM, and/or MLM) can be coupled directly or via one or more chemical linkers or a combination thereof. In additional embodiments, where a compound has multiple ULMs, the ULMs can be for the same E3 ubiquintin ligase or each respective ULM can bind specifically to a different E3 ubiquitin ligase. In still further embodiments, where a compound has multiple PTMs, the PTMs can bind the same target protein or each respective PTM can bind specifically to a different target protein.

In certain embodiments, where the compound comprises multiple ULMs, the ULMs are identical. In additional embodiments, the compound comprising a plurality of ULMs (e.g., ULM, ULM′, etc.), at least one PTM coupled to a ULM directly or via a chemical linker (L) or both. In certain additional embodiments, the compound comprising a plurality of ULMs further comprises multiple PTMs. In still additional embodiments, the PTMs are the same or, optionally, different. In still further embodiments, wherein the PTMs are different, the respective PTMs may bind the same protein target or bind specifically to a different protein target.

In certain embodiments, the compound may comprise a plurality of ULMs and/or a plurality of ULM's. In further embodiments, the compound comprising at least two different ULMs, a plurality of ULMs, and/or a plurality of ULM's further comprises at least one PTM coupled to a ULM or a ULM′ directly or via a chemical linker or both. In any of the embodiments described herein, a compound comprising at least two different ILMs can further comprise multiple PTMs. In still additional embodiments, the PTMs are the same or, optionally, different. In still further embodiments, wherein the PTMs are different the respective PTMs may bind the same protein target or bind specifically to a different protein target. In still further embodiments, the PTM itself is a ULM (or ULM′), such as an ILM, a VLM, a CLM, a MLM, an ILM′, a VLM′, a CLM′, and/or a MLM′.

In additional embodiments, the description provides the compounds as described herein including their enantiomers, diastereomers, solvates and polymorphs, including pharmaceutically acceptable salt forms thereof, e.g., acid and base salt forms.

Exemplary ILMs

AVPI Tetrapeptide Fragments

In any of the compounds described herein, the ILM can comprise an alanine-valine-proline-isoleucine (AVPI) tetrapeptide fragment or an unnatural mimetic thereof. In certain embodiments, the ILM is selected from the group consisting of chemical structures represented by Formulas (I), (II), (III), (IV), and (V):

wherein: R¹ for Formulas (I), (II), (III), (IV), and (V) is selected from H or alkyl; R² for Formulas (I), (II), (III), (IV), and (V) is selected from H or alkyl; R³ for Formulas (I), (II), (III), (IV), and (V) is selected from H, alkyl, cycloalkyl and heterocycloalkyl; R⁵ and R⁶ for Formulas (I), (II), (III), (IV), and (V) are independently selected from H, alkyl, cycloalkyl, heterocycloalkyl, or more preferably, R⁵ and R⁶ taken together for Formulas (I), (II), (III), (IV), and (V) form a pyrrolidine or a piperidine ring further optionally fused to 1-2 cycloalkyl, heterocycloalkyl, aryl or heteroaryl rings, each of which can then be further fused to another cycloalkyl, heterocycloalkyl, aryl or heteroaryl ring; R³ and R⁵ for Formulas (I), (II), (III), (IV), and (V) taken together can form a 5-8-membered ring further optionally fused to 1-2 cycloalkyl, heterocycloalkyl, aryl or heteroaryl rings; R⁷ for Formulas (I), (II), (III), (IV), and (V) is selected from cycloalkyl, cycloalkylalkyl, heterocycloalkyl, heterocycloalkylalkyl, aryl, arylalkyl, heteroaryl or heteroarylalkyl, each one further optionally substituted with 1-3 substituents selected from halogen, alkyl, haloalkyl, hydroxyl, alkoxy, cyano, (hetero)cycloalkyl or (hetero)aryl, or R⁷ is —C(O)NH—R⁴; and R⁴ is selected from alkyl, cycloalkyl, heterocycloalkyl, cycloalkylalkyl, heterocycloalkylalkyl, aryl, arylalkyl, heteroaryl, heteroarylalkyl, further optionally substituted with 1-3 substituents as described above.

As shown above, P1, P2, P3, and P4 of Formula (II) correlate with A, V, P, and I, respectively, of the AVPI tetrapeptide fragment or an unnatural mimetic thereof. Similarly, each of Formulas (I) and (III) through (V) have portions correlating with A, V, P, and I of the AVPI tetrapeptide fragment or an unnatural mimetic thereof.

In any of the compounds described herein, the ILM can have the structure of Formula (VI), which is a derivative of IAP antagonists described in WO Pub. No. 2008/014236, or an unnatural mimetic thereof:

wherein:

-   -   R₁ of Formula (VI) is, independently selected from H,         C₁-C₄-alkynyl or C₃-C₁₀- cycloalkyl which are unsubstituted or         substituted;     -   R₂ of Formula (VI) is, independently selected from H,         C₁-C₄-alkyl, C₁-C₄-alkenyl, C₁-C₄-alkynyl or C₃-C₁₀- cycloalkyl         which are unsubstituted or substituted;     -   R₃ of Formula (VI) is, independently selected from H, —CF₃,         —C₂H₅, C₁-C₄ alkyl, C₁-C₄-alkenyl, C₁-C₄-alkyl, —CH₂—Z or any R₂         and R₃ together form a heterocyclic ring;     -   each Z of Formula (VI) is, independently selected from H, —OH,         F, Cl, —CH₃, —CF₃, —CH₂Cl, —CH₂F or —CH₂OH;     -   R₄ of Formula (VI) is, independently selected from C₁-C₁₆         straight or branched alkyl, C₁-C₁₆-alkenyl, C₁-C₁₆-alkynyl,         C₃-C₁₀-cycloalkyl, —(CH₂)₀₋₆—Z₁, —(CH₂)₀₋₆-aryl, and         —(CH₂)₀₋₆-het, wherein alkyl, cycloalkyl, and phenyl are         unsubstituted or substituted;     -   R₅ of Formula (VI) is, independently selected from H,         C₁₋₁₀-alkyl, aryl, phenyl, C₃₋₇-cycloalkyl,         —(CH₂)₁₋₆—C₃₋₇-cycloalkyl, —C₁₋₁₀-alkyl-aryl,         —(CH₂)₀₋₆—C₃₋₇-cycloalkyl-(CH₂)₀₋₆-phenyl,         —(CH₂)₀₋₄—CH[(CH₂)₁₋₄-phenyl]₂, indanyl, —C(O)—C₁₋₁₀-alkyl,         —C(O)—(CH₂)₁₋₆—C₃₋₇-cycloalkyl, —C(O)—(CH₂)₀₋₆-phenyl,         —(CH₂)₀₋₆—C(O)-phenyl, —(CH)₀₋₆-het, —C(O)—(CH₂)₁₋₆-het, or R₅         is selected from a residue of an amino acid, wherein the alkyl,         cycloalkyl, phenyl, and aryl substituents are unsubstituted or         substituted;     -   Z₁ of Formula (VI) is, independently selected from         —N(R₁₀)—C(O)—C₁₋₁₀-alkyl, —N(R₁₀)—C(O)—(CH₂)₀₋₆—C₃₋₇-cycloalkyl,         —N(R₁₀)—C(O)—(CH₂)₀₋₆-phenyl, —N(R₁₀)—C(O)(CH₂)₁₋₆-het,         —C(O)—N(R₁₁)(R₁₂), —C(O)—O—C₁₋₁₀-alkyl,         —C(O)—O—(CH₂)₁₋₆—C₃₋₇-cycloalkyl, —C(O)—O—(CH₂)₀₋₆-phenyl,         —C(O)—O—(CH₂)₁₋₆-het, —O—C(O)—C₁₋₁₀-alkyl,         —O—C(O)—(CH₂)₁₋₆C₃₋₇-cycloalkyl, —O—C(O)—(CH₂)₀₋₆-phenyl,         —O—C(O)—(CH₂)₁₋₆-het, wherein alkyl, cycloalkyl, and phenyl are         unsubstituted or substituted;     -   het of Formula (VI) is, independently selected from a 5-7 member         heterocyclic ring containing 1-4 heteroatoms selected from N, O,         and S, or an 8-12 member fused ring system including at least         one 5-7 member heterocyclic ring containing 1, 2, or 3         heteroatoms selected from N, O, and S, which heterocyclic ring         or fused ring system is unsubstituted or substituted on a carbon         or nitrogen atom;     -   R₁₀ of Formula (VI) is selected from H, —CH₃, CF₃, —CH₂OH, or         —CH₂Cl;     -   R₁₁ and R₁₂ of Formula (VI) are independently selected from H,         C₁₋₄-alkyl, C₃₋₇-cycloalkyl, —(CH₂)₁₋₆—C₃₋₇-cycloakyl,         (CH₂)₀₋₆-phenyl, wherein alkyl, cycloalkyl, and phenyl are         unsubstituted or substituted; or R¹¹ and R₁₂ together with the         nitrogen form het, and     -   U of Formula (VI) is, independently, as shown in Formula (VII):

wherein:

-   -   each n of Formula (VII) is, independently selected from 0 to 5;     -   X of Formula (VII) is selected from the group —CH and N;     -   R_(a) and R_(b), of Formula (VII) are independently selected         from the group O, S, or N atom or C₀₋₈-alkyl wherein one or more         of the carbon atoms in the alkyl chain are optionally replaced         by a heteroatom selected from O, S, or N, and where each alkyl         is, independently, either unsubstituted or substituted;     -   R_(d) of Formula (VII) is selected from the group         Re-Q-(R_(f))_(p)(R_(g))_(q), and Ar₁-D-Ar₂;     -   R_(c) of Formula (VII) is selected from the group H or any R_(c)         and R_(d) together form a cycloalkyl or het; where if R_(c) and         R_(d) form a cycloalkyl or het, R₅ is attached to the formed         ring at a C or N atom;     -   p and q of Formula (VII) are independently selected from 0 or 1;     -   R_(e) of Formula (VII) is selected from the group C₁₋₈-alkyl and         alkylidene, and each Re is either unsubstituted or substituted;     -   Q is selected from the group N, O, S, S(O), and S(O)₂;     -   Ar₁ and Ar₂ of Formula (VII) are independently selected from the         group of substituted or unsubstituted aryl and het;     -   R_(f) and R_(g) of Formula (VII) are independently selected from         H, —C1-10-alkyl, C₁₋₁₀-alkylaryl, —OH, —O—C₁₋₁₀ alkyl,         —(CH₂)₀₋₆—C₃₋₇-cycloalkyl, —O—(CH₂)₀₋₆-aryl, phenyl, aryl,         phenyl-phenyl, —(CH₂)₁₋₆-het, —O—(CH₂)₁₋₆-het, —OR₁₃, —C(O)—R₁₃,         —C(O)—N(R₁₃)(R₁₄), —N(R₁₃)(R₁₄), —S—R₁₃, —S(O)—R₁₃, —S(O)₂—R₁₃,         —S(O)₂—NR₁₃R₁₄, —NR₁₃—S(O)₂—R₁₄, —S—C₁₋₁₀-alkyl,         aryl-C₁₋₄-alkyl, or het-C₁₋₄-alkyl, wherein alkyl, cycloalkyl,         het, and aryl are unsubstituted or substituted, —SO₂—C₁₋₂-alkyl,         —SO₂—C₁₋₂-alkylphenyl, —O—C₁₋₄-alkyl, or any R_(g) and R_(f)         together form a ring selected from het or aryl;     -   D of Formula (VII) is selected from the group —CO—,         —C(O)—C₁₋₇-alkylene or arylene, —CF₂—, O—, —S(O)_(r) where r is         0-2, 1,3-dioxalane, or C₁₋₇-alkyl-OH; where alkyl, alkylene, or         arylene are unsubstituted or substituted with one or more         halogens, OH, —O—C₁₋₆-alkyl, —S—C₁₋₆-alkyl, or —CF₃; or each D         is, independently selected from N(R_(h));     -   Rh is selected from the group H, unsubstituted or substituted         C₁₋₇-alkyl, aryl, unsubstituted or substituted         —O—(C₁₋₇-cycloalkyl), C(O)—C₁₋₁₀-alkyl, —C(O)—C₀₋₁₀-alkyl-aryl,         —C—O—C₀₁₋₁₀-alkyl, —C—O—C₀₋₁₀-alkyl-aryl, —SO₂—C₁₋₁₀-alkyl, or         —SO₂—(C₀₋₁₀-alkylaryl);     -   R₆, R₇, R₈, and R₉ of Formula (VII) are, independently, selected         from the group H, —C₁₋₁₀-alkyl, —C₁₋₁₀-alkoxy,         aryl-C₁₋₁₀-alkoxy, —OH, —O—C₁₋₁₀-alkyl,         —(CH₂)₀₋₆—C₃₋₇-cycloalkyl, —O—(CH₂)₀₋₆-aryl, phenyl,         —(CH₂)₁₋₆-het, —O—(CH₂)₁₋₆-het, —OR₁₃, —C(O)—R₁₃,         —C(O)—N(R₁₃)(R₁₄), —N(R₁₃)(R₁₄), —S—R₁₃, —S(O)—R₁₃, —S(O)₂—R₁₃,         —S(O)₂—NR₁₃R₁₄, or —NR₁₃—S(O)₂—R₁₄; wherein each alkyl,         cycloalkyl, and aryl is unsubstituted or substituted; and any         R₆, R₇, R₈, and R₉ optionally together form a ring system;     -   R₁₃ and R₁₄ of Formula (VII) are independently selected from the         group H, C₁₋₁₀-alkyl, —(CH₂)₀₋₆—C₃₋₇-cycloalkyl,         —(CH₂)₀₋₆—(CH)₀₋₁-(aryl)₁₋₂, —C(O)—C₁₋₁₀-alkyl,         —C(O)—(CH₂)₁₋₆—C₃₋₇-cycloalkyl, —C(O)—O—(CH₂)₀₋₆-aryl,         C(O)—(CH₂)₀₋₆—O-fluorenyl, —C(O)—NH—(CH₂)₀₋₆-aryl,         —C(O)—(CH₂)₀₋₆-aryl, —C(O)—(CH₂)₀₋₆-het, —C(S)—C₁₋₁₀-alkyl,         —C(S)—(CH₂)₁₋₆—C₃₋₇-cycloalkyl, —C(S)—O—(CH₂)₀₋₆-aryl,         —C(S)—(CH₂)₀₋₆—O-fluorenyl, —C(S)—NH—(CH₂)₀₋₆-aryl,         —C(S)—(CH₂)₀₋₆-aryl, or —C(S)—(CH₂)₁₋₆-het, wherein each alkyl,         cycloalkyl, and aryl is unsubstituted or substituted: or any R₁₃         and R₁₄ together with a nitrogen atom form het;     -   wherein alkyl substituents of R₁₃ and R₁₄ of Formula (VII) are         unsubstituted or substituted and when substituted, are         substituted by one or more substituents selected from         C₁₋₁₀-alkyl, halogen, OH, —O—C₁₋₆-alkyl, —S—C₁₋₆-alkyl, and         —CF₃; and substituted phenyl or aryl of R₁₃ and R₁₄ are         substituted by one or more substituents selected from halogen,         hydroxyl. C₁₋₄-alkyl, C₁₋₄-alkoxy, nitro, —CN,         —O—C(O)—C₁₋₄-alkyl, and —C(O)—O—C₁₋₄-aryl; or a pharmaceutically         acceptable salt or hydrate thereof.

In certain embodiments, the compound further comprises an independently selected second ILM attached to the ILM of Formula (VI), or an unnatural mimetic thereof, by way of at least one additional independently selected linker group. In an embodiment, the second ILM is a derivative of Formula (VI), or an unnatural mimetic thereof. In a certain embodiment, the at least one additional independently selected linker group comprises two additional independently selected linker groups chemically linking the ILM and the second ILM. In an embodiment, the at least one additional linker group for an ILM of the Formula (VI), or an unnatural mimetic thereof, chemically links groups selected from R₄ and R₅. For example, an ILM of Formula (VI) and a second ILM of Formula (VI), or an unnatural mimetic thereof, can be linked as shown below:

In certain embodiments, the ILM, the at least one additional independently selected linker group L, and the second ILM has a structure selected from the group consisting of:

which are derivatives of IAP antagonists described in WO Pub. No. 2008/014236.

In any of the compounds described herein, the ILM can have the structure of Formula (VIII), which is based on the IAP ligands described in Ndubaku, C., et al. Antagonism of c-IAP and XIAP proteins is required for efficient induction of cell death by small-molecule IAP antagonists, ACS Chem. Biol., 557-566, 4 (7) (2009), or an unnatural mimetic thereof:

wherein each of A1 and A2 of Formula (VIII) is independently selected from optionally substituted monocyclic, fused rings, aryls and heteroaryls; and

R of Formula (VIII) is selected from H or Me.

In a particular embodiment, the linker group L is attached to A1 of Formula (VIII). In another embodiment, the linker group L is attached to A2 of Formula (VIII).

In a particular embodiment, the ILM is selected from the group consisting of

In any of the compounds described herein, the ILM can have the structure of Formula (IX), which is derived from the chemotypes cross-referenced in Mannhold, R., et al. IAP antagonists: promising candidates for cancer therapy, Drug Discov. Today, 15 (5-6), 210-9 (2010), or an unnatural mimetic thereof:

wherein R¹ is selected from alkyl, cycloalkyl and heterocycloalkyl and, most preferably, from isopropyl, tert-butyl, cyclohexyl and tetrahydropyranyl, and R² of Formula (IX) is selected from —OPh or H.

In any of the compounds described herein, the ILM can have the structure of Formula (X), which is derived from the chemotypes cross-referenced in Mannhold, R., et al. IAP antagonists: promising candidates for cancer therapy, Drug Discov. Today, 15 (5-6), 210-9 (2010), or an unnatural mimetic thereof:

wherein:

R¹ of Formula (X) is selected from H, —CH₂OH, —CH₂CH₂OH, —CH₂NH₂, —CH₂CH₂NH₂;

X of Formula (X) is selected from S or CH₂;

R² of Formula (X) is selected from:

R³ and R⁴ of Formula (X) are independently selected from H or Me

In any of the compounds described herein, the ILM can have the structure of Formula (XI), which is derived from the chemotypes cross-referenced in Mannhold, R., et al. IAP antagonists: promising candidates for cancer therapy, Drug Discov. Today, 15 (5-6), 210-9 (2010), or an unnatural mimetic thereof:

wherein R¹ of Formula (XI) is selected from H or Me, and R² of Formula (XI) is selected from H or

In any of the compounds described herein, the ILM can have the structure of Formula (XII), which is derived from the chemotypes cross-referenced in Mannhold, R., et al. IAP antagonists: promising candidates for cancer therapy, Drug Discov. Today, 15 (5-6), 210-9 (2010), or an unnatural mimetic thereof:

wherein: R¹ of Formula (XII) is selected from:

and R² of Formula (XII) is selected from:

In any of the compounds described herein, the IAP E3 ubiquitin ligase binding moiety is selected from the group consisting of:

In any of the compounds described herein, the ILM can have the structure of Formula (XIII), which is based on the IAP ligands summarized in Flygare, J. A., et al. Small-molecule pan-IAP antagonists: a patent review, Expert Opin. Ther. Pat., 20 (2), 251-67 (2010), or an unnatural mimetic thereof:

wherein:

Z of Formula (XIII) is absent or O;

R¹ of Formula (XIII) is selected from:

R¹⁰ of

is selected from H, alkyl, or aryl;

X is selected from CH2 and O; and

is a nitrogen-containing heteroaryl.

In any of the compounds described herein, the ILM can have the structure of Formula (XIV), which is based on the IAP ligands summarized in Flygare, J. A., et al. Small-molecule pan-IAP antagonists: a patent review, Expert Opin. Ther. Pat., 20 (2), 251-67 (2010), or an unnatural mimetic thereof:

wherein:

Z of Formula (XIV) is absent or O;

R³ and R⁴ of Formula (XIV) are independently selected from H or Me;

R¹ of Formula (XIV) is selected from:

R¹⁰ of

is selected from H, alkyl, or aryl;

X of

is selected from CH2 and O; and

is a nitrogen-containing heteroaryl.

In any of the compounds described herein, the ILM is selected from the group consisting of:

which are derivatives of ligands disclose in US Patent Pub. No. 2008/0269140 and U.S. Pat. No. 7,244,851.

In any of the compounds described herein, the ILM can have the structure of Formula (XV), which was a derivative of the IAP ligand described in WO Pub. No. 2008/128171, or an unnatural mimetic thereof:

wherein:

Z of Formula (XV) is absent or O;

R¹ of Formula (XV) is selected from:

R¹⁰ of

is selected from H, alkyl, or aryl;

X of

is selected from CH2 and O; and

is a nitrogen-containing heteraryl; and

R² of Formula (XV) selected from H, alkyl, or acyl.

In a particular embodiment, the ILM has the following structure:

In any of the compounds described herein, the ILM can have the structure of Formula (XVI), which is based on the IAP ligand described in WO Pub. No. 2006/069063, or an unnatural mimetic thereof:

wherein: R² of Formula (XVI) is selected from alkyl, cycloalkyl and heterocycloalkyl; more preferably, from isopropyl, tert-butyl, cyclohexyl and tetrahydropyranyl, most preferably from cyclohexyl;

of Formula (XVI) is a 5- or 6-membered nitrogen-containing heteroaryl; more preferably, 5-membered nitrogen-containing heteroaryl, and most preferably thiazole; and Ar of Formula (XVI) is an aryl or a heteroaryl.

In any of the compounds described herein, the ILM can have the structure of Formula (XVII), which is based on the IAP ligands described in Cohen, F. et al., Antogonists of inhibitors of apoptosis proteins based on thiazole amide isosteres, Bioorg. Med. Chem. Lett., 20(7), 2229-33 (2010), or an unnatural mimetic thereof:

wherein:

R¹ of Formula (XVII) is selected from to group halogen (e.g. fluorine), cyano,

X of Formula (XVII) is selected from the group O or CH2.

In any of the compounds described herein, the ILM can have the structure of Formula (XVIII), which is based on the IAP ligands described in Cohen, F. et al., Antogonists of inhibitors of apoptosis proteins based on thiazole amide isosteres, Bioorg. Med. Chem. Lett., 20(7), 2229-33 (2010), or an unnatural mimetic thereof:

wherein R of Formula (XVIII) is selected from alkyl, aryl, heteroaryl, arylalkyl, heteroarylalkyl or halogen (in variable substitution position).

In any of the compounds described herein, the ILM can have the structure of Formula (XIX), which is based on the IAP ligands described in Cohen, F. et al., Antogonists of inhibitors of apoptosis proteins based on thiazole amide isosteres, Bioorg. Med. Chem. Lett., 20(7), 2229-33 (2010), or an unnatural mimetic thereof:

wherein

is a 6-member nitrogen heteroaryl.

In a certain embodiment, the ILM of the composition is selected from the group consisting of:

In certain embodiments, the ILM of the composition is selected from the group consisting of:

In any of the compounds described herein, the ILM can have the structure of Formula (XX), which is based on the IAP ligands described in WO Pub. No. 2007/101347, or an unnatural mimetic thereof:

wherein X of Formula (XX) is selected from CH₂, O, NH, or S.

In any of the compounds described herein, the ILM can have the structure of Formula (XXI), which is based on the IAP ligands described in U.S. Pat. No. 7,345,081 and U.S. Pat. No. 7,419,975, or an unnatural mimetic thereof:

wherein:

R² of Formula (XXI) is selected from:

R⁵ of Formula (XXI) is selected from:

and

W of Formula (XXI) is selected from CH or N; and

R⁶ of

are independently a mono- or bicyclic fused aryl or heteroaryl.

In certain embodiments, the ILM of the compound is selected from the group consisting of:

In certain embodiments, the ILM of the compound is selected from the group consisting of:

which are described in WO Pub. No. 2009/060292, U.S. Pat. No. 7,517,906, WO Pub. No. 2008/134679, WO Pub. No. 2007/130626, and WO Pub. No. 2008/128121.

In any of the compounds described herein, the ILM can have the structure of Formula (XXII) or (XXIII), which are derived from the IAP ligands described in WO Pub. No. 2015/006524 and Perez H L, Discovery of potent heterodimeric antagonists of inhibitor of apoptosis proteins (IAPs) with sustained antitumor activity. J. Med. Chem. 58(3), 1556-62 (2015), or an unnatural mimetic thereof:

wherein:

-   -   R¹ of Formula (XXII) or (XXIII) is optionally substituted alkyl,         optionally substituted cycloalkyl, optionally substituted         cycloalkylalkyl, optionally substituted heterocyclyl, optionally         substituted arylalkyl or optionally substituted aryl;     -   R² of Formula (XXII) or (XXIII) is optionally substituted alkyl,         optionally substituted cycloalkyl, optionally substituted         cycloalkylalkyl, optionally substituted heterocyclyl, optionally         substituted arylalkyl or optionally substituted aryl;     -   or alternatively, R¹ and R² of Formula (XXII) or (XXIII) are         independently optionally substituted thioalkyl wherein the         substituents attached to the S atom of the thioalkyl are         optionally substituted alkyl, optionally substituted branched         alkyl, optionally substituted heterocyclyl, —(CH₂)_(v)COR²⁰,         —CH₂CHR²¹COR²² or —CH₂R²³;

wherein:

-   -   v is an integer from 1-3;     -   R²⁰ and R²² of —(CH₂)_(v)COR²⁰ and —CH₂R²³ are independently         selected from OH, NR²⁴R²⁵ or OR²⁶;     -   R²¹ of —CH₂CHR²¹COR² is selected from the group NR²⁴R²⁵;     -   R²³ of —CH₂R²³ is selected from optionally substituted aryl or         optionally substituted heterocyclyl, where the optional         substituents include alkyl and halogen;     -   R²⁴ of NR²⁴R²⁵ is selected from hydrogen or optionally         substituted alkyl;     -   R²⁵ of NR²⁴R²⁵ is selected from hydrogen, optionally substituted         alkyl, optionally substituted branched alkyl, optionally         substituted arylalkyl, optionally substituted heterocyclyl,         —CH₂(OCH₂CH₂O)_(m)CH₃, or a polyamine chain, such as spermine or         spermidine;     -   R²⁶ of OR²⁶ is selected from optionally substituted alkyl,         wherein the optional substituents are OH, halogen or NH₂; and     -   m is an integer from 1-8;     -   R³ and R⁴ of Formula (XXII) or (XXIII) are independently         selected from optionally substituted alkyl, optionally         substituted cycloalkyl, optionally substituted aryl, optionally         substituted arylalkyl, optionally substituted arylalkoxy,         optionally substituted heteroaryl, optionally substituted         heterocyclyl, optionally substituted heteroarylalkyl or         optionally substituted heterocycloalkyl, wherein the         substituents are alkyl, halogen or OH;     -   R⁵, R⁶, R⁷ and R⁸ of Formula (XXII) or (XXIII) are independently         selected from hydrogen, optionally substituted alkyl or         optionally substituted cycloalkyl; and     -   X is selected from a bond or a chemical linker group, and/or a         pharmaceutically acceptable salt, tautomer or stereoisomer         thereof.

In certain embodiments, X is a bond or is selected from the group consisting of:

wherein “*” is the point of attachment of a PTM, L or ULM, e.g., an ILM.

In any of the compounds described herein, the ILM can have the structure of Formula (XXIV) or (XXVI), which are derived from the IAP ligands described in WO Pub. No. 2015/006524 and Perez H L, Discovery of potent heterodimeric antagonists of inhibitor of apoptosis proteins (IAPs) with sustained antitumor activity. J. Med. Chem. 58(3), 1556-62 (2015), or an unnatural mimetic thereof, and the chemical linker to linker group L as shown:

wherein:

-   -   R¹ of Formula (XXIV), (XXV) or (XXVI) is selected from         optionally substituted alkyl, optionally substituted cycloalkyl,         optionally substituted cycloalkylalkyl, optionally substituted         heterocyclyl, optionally substituted arylalkyl or optionally         substituted aryl;     -   R² of Formula (XXIV), (XXV) or (XXVI) is selected from         optionally substituted alkyl, optionally substituted cycloalkyl,         optionally substituted cycloalkylalkyl, optionally substituted         heterocyclyl, optionally substituted arylalkyl or optionally         substituted aryl; or alternatively,     -   R¹ and R² of Formula (XXIV), (XXV) or (XXVI) are independently         selected from optionally substituted thioalkyl wherein the         substituents attached to the S atom of the thioalkyl are         optionally substituted alkyl, optionally substituted branched         alkyl, optionally substituted heterocyclyl, —(CH₂)_(v)COR²⁰,         —CH₂CHR²¹COR²² or —CH₂R²³,     -   wherein:         -   v is an integer from 1-3;         -   R²⁰ and R²² of —(CH₂)_(v)COR²⁰ and —CH₂R²³ are independently             selected from OH, NR²⁴R²⁵ or OR²⁶;         -   R²¹ of —CH₂CHR²¹COR² is selected from NR²⁴R²⁵;         -   R²³ of —CH₂R²³ is selected from optionally substituted aryl             or optionally substituted heterocyclyl, wherein the optional             substituents include alkyl and halogen;         -   R²⁴ of NR²⁴R²⁵ is selected from hydrogen or optionally             substituted alkyl;         -   R²⁵ of NR²⁴R²⁵ is selected from hydrogen, optionally             substituted alkyl, optionally substituted branched alkyl,             optionally substituted arylalkyl, optionally substituted             heterocyclyl, —CH₂(OCH₂CH₂O)_(m)CH₃, or a polyamine chain,             such as spermine or spermidine;         -   R²⁶ of OR²⁶ is selected from optionally substituted alkyl,             wherein the optional substituents are OH, halogen or NH₂;             and         -   m is an integer from 1-8;         -   R³ and R⁴ of Formula (XXIV), (XXV) or (XXVI) are             independently optionally substituted alkyl, optionally             substituted cycloalkyl, optionally substituted aryl,             optionally substituted arylalkyl, optionally substituted             arylalkoxy, optionally substituted heteroaryl, optionally             substituted heterocyclyl, optionally substituted             heteroarylalkyl or optionally substituted heterocycloalkyl,             wherein the substituents are alkyl, halogen or OH;         -   R⁵, R⁶, R⁷ and R⁸ of Formula (XXIV), (XXV) or (XXVI) are             independently hydrogen, optionally substituted alkyl or             optionally substituted cycloalkyl; and/or a pharmaceutically             acceptable salt, tautomer or stereoisomer thereof.

In a particular embodiment, the ILM according to Formulas (XXII) through (XXVI):

R⁷ and R⁸ are selected from the H or Me; R⁵ and R⁶ are selected from the group comprising:

R³ and R⁴ are selected from the group comprising:

In any of the compounds described herein, the ILM can have the structure of Formula (XXVII) or (XXVII), which are derived from the IAP ligands described in WO Pub. No. 2014/055461 and Kim, K S, Discovery of tetrahydroisoquinoline-based bivalent heterodimeric IAP antagonists. Bioorg. Med. Chem. Lett. 24(21), 5022-9 (2014), or an unnatural mimetic thereof:

wherein:

-   -   R³⁵ is 1-2 substituents selected from alkyl, halogen, alkoxy,         cyano and haloalkoxy;     -   R¹ of Formula (XXVII) and (XXVIII) is selected from H or an         optionally substituted alkyl, optionally substituted cycloalkyl,         optionally substituted cycloalkylalkyl, optionally substituted         heterocyclyl, optionally substituted arylalkyl or optionally         substituted aryl;     -   R² of Formula (XXVII) and (XXVIII) is selected from H or an         optionally substituted alkyl, optionally substituted cycloalkyl,         optionally substituted cycloalkylalkyl, optionally substituted         heterocyclyl, optionally substituted arylalkyl or optionally         substituted aryl; or alternatively,     -   R¹ and R² of Formula (XXVII) and (XXVIII) are independently         selected from an optionally substituted thioalkyl —CR⁶⁰R⁶¹SR⁷⁰,         wherein R⁶⁰ and R⁶¹ are selected from H or methyl, and     -   R⁷⁰ is selected from an optionally substituted alkyl, optionally         substituted branched alkyl, optionally substituted heterocyclyl,         —(CH₂)_(v)COR²⁰, —CH₂CHR²¹COR²² or —CH₂R²³, wherein:         -   v is an integer from 1-3;     -   R²⁰ and R²² of —(CH₂)_(v)COR²⁰ and —CH₂CHR²¹COR²² are         independently selected from OH, NR²⁴R²⁵ or OR²⁶;     -   R²¹ of —CH₂CHR²¹COR²² is selected from NR²⁴R²⁵;     -   R²³ of —CH₂R²³ is selected from an optionally substituted aryl         or optionally substituted heterocyclyl, where the optional         substituents include alkyl and halogen;     -   R²⁴ of NR²⁴R²⁵ is selected from hydrogen or optionally         substituted alkyl;     -   R²⁵ of NR²⁴R²⁵ is selected from hydrogen, optionally substituted         alkyl, optionally substituted branched alkyl, optionally         substituted arylalkyl, optionally substituted heterocyclyl,         —CH₂CH₂(OCH₂CH₂)_(m)CH₃, or a polyamine chain         —[CH₂CH₂(CH₂)_(δ)NH]_(ψ)CH₂CH₂(CH₂)ωNH₂, such as spermine or         spermidine;     -   wherein δ=0-2, ψ=1-3, ω=0-2;     -   R²⁶ of OR²⁶ is an optionally substituted alkyl, wherein the         optional substituents are OH, halogen or NH₂; and     -   m is an integer from 1-8,     -   R³ and R⁴ of Formula (XXVII) and (XXVIII) are independently         selected from an optionally substituted alkyl, optionally         substituted cycloalkyl, optionally substituted aryl, optionally         substituted arylalkyl, optionally substituted arylalkoxy,         optionally substituted heteroaryl, optionally substituted         heterocyclyl, optionally substituted heteroarylalkyl or         optionally substituted heterocycloalkyl, wherein the         substituents are alkyl, halogen or OH; R⁵, R⁶, R⁷ and R⁸ of         Formula (XXVII) and (XXVIII) are independently selected from         hydrogen, optionally substituted alkyl or optionally substituted         cycloalkyl;     -   R³¹ of Formulas (XXVII) and (XXVIII) is selected from alkyl,         aryl, arylalkyl, heteroaryl or heteroarylalkyl optionally         further substituted, preferably selected form the group         consisting of:

-   -   X of Formulas (XXVII) and (XXVIII) is selected from         —(CR⁸¹R⁸²)_(m)—, optionally substituted heteroaryl or         heterocyclyl,

-   -   Z of Formulas (XXVII) is selected from C═O, —O—, —NR, —CONH—,         —NHCO—, or may be absent;     -   R⁸¹ and R⁸² of —(CR⁸¹R⁸²)_(m) are independently selected from         hydrogen, halogen, alkyl or cycloalkyl, or R⁸¹ and R⁸² can be         taken together to form a carbocyclic ring;     -   R¹⁰ and R¹¹ of

are independently selected from hydrogen, halogen or alkyl;

-   -   R¹², R¹³, R¹⁴, R¹⁵ and R¹⁶ of

are independently selected from hydrogen, halogen or optionally substituted alkyl or OR¹⁷;

-   -   R¹⁷ is selected from hydrogen, optionally substituted alkyl or         optionally substituted cycloalkyl;

m and n of —(CR²¹R²²)_(m)—

are independently 0, 1, 2, 3, or 4;

o and p of

are independently 0, 1, 2 or 3;

q and t of

are independently 0, 1, 2, 3, or 4;

r of

is 0 or 1;

and/or a pharmaceutically acceptable salt, tautomer or stereoisomer thereof.

In any of the compounds described herein, the ILM can have the structure of Formula (XXIX), (XXX), (XXXI), or (XXXII), which are derived from the IAP ligands described in WO Pub. No. 2014/055461 and Kim, K S, Discovery of tetrahydroisoquinoline-based bivalent heterodimeric IAP antagonists. Bioorg. Med. Chem. Lett. 24(21), 5022-9 (2014), or an unnatural mimetic thereof, and the chemical linker to linker group L as shown:

wherein:

-   -   R² of Formula (XXIX) through (XXXII) is selected from H, an         optionally substituted alkyl, optionally substituted cycloalkyl,         optionally substituted cycloalkylalkyl, optionally substituted         heterocyclyl, optionally substituted arylalkyl or optionally         substituted aryl; or alternatively;     -   R¹ and R² of Formula (XXVII) and (XXVIII) are independently         selected from H, an optionally substituted thioalkyl         —CR⁶⁰R⁶¹SR⁷⁰ wherein R⁶⁰ and R⁶¹ are selected from H or methyl,         and R⁷⁰ is an optionally substituted alkyl, optionally         substituted branched alkyl, optionally substituted heterocyclyl,         —(CH₂)_(v)COR²⁰, —CH₂CHR²¹COR²² or —CH₂R²³;     -   wherein:     -   v is an integer from 1-3;     -   R²⁰ and R²² of —(CH₂)_(v)COR²⁰ and —CH₂CHR²¹COR²² are         independently selected from OH, NR²⁴R²⁵ or OR²⁶;     -   R²¹ of —CH₂CHR²¹COR²² is selected from NR²⁴R²⁵;     -   R²³ of —CH₂R²³ is selected from an optionally substituted aryl         or optionally substituted heterocyclyl, where the optional         substituents include alkyl and halogen;     -   R²⁴ of NR²⁴R²⁵ is selected from hydrogen or optionally         substituted alkyl;     -   R²⁵ of NR²⁴R²⁵ is selected from hydrogen, optionally substituted         alkyl, optionally substituted branched alkyl, optionally         substituted arylalkyl, optionally substituted heterocyclyl,         —CH₂CH₂(OCH₂CH₂)_(m)CH₃, or a polyamine chain         [CH₂CH₂(CH₂)_(δ)NH]_(ψ)CH₂CH₂(CH₂)ωNH₂, such as spermine or         spermidine,     -   wherein δ=0-2, ψ=1-3, ω=0-2;     -   R²⁶ of OR²⁶ is an optionally substituted alkyl, wherein the         optional substituents are OH, halogen or NH₂,     -   m is an integer from 1-8;     -   R⁶ and R⁸ of Formula (XXIX) through (XXXII) are independently         selected from hydrogen, optionally substituted alkyl or         optionally substituted cycloalkyl; and     -   R³¹ of Formulas (XXIX) through (XXXII) is selected from alkyl,         aryl, arylalkyl, heteroaryl or heteroarylalkyl optionally         further substituted, preferably selected form the group         consisting of:

In certain embodiments, the ILM of the compound is:

In any of the compounds described herein, the ILM can have the structure of Formula (XXXIII), which are derived from the IAP ligands described in WO Pub. No. 2014/074658 and WO Pub. No. 2013/071035, or an unnatural mimetic thereof:

wherein:

-   -   R² of Formula (XXXIII) is selected from H, an optionally         substituted alkyl, optionally substituted cycloalkyl, optionally         substituted cycloalkylalkyl, optionally substituted         heterocyclyl, optionally substituted arylalkyl or optionally         substituted aryl;     -   R⁶ and R⁸ of Formula (XXXIII) are independently selected from         hydrogen, optionally substituted alkyl or optionally substituted         cycloalkyl;     -   R³² of Formula (XXXIII) is selected from (C1-C4 alkylene)-R³³         wherein R³³ is selected from hydrogen, aryl, heteroaryl or         cycloalkyl optionally further substituted;     -   X of Formula (XXXIII) is selected from:

-   -   Z and Z′ of Formula (XXXIII) are independently selected from:

wherein each

represents a point of attachment to the compound, and Z and Z′ cannot both be

in any given compound;

-   -   Y of Formula (XXXIII) is selected from:

wherein Z and Z′ of Formula (XXXIII) are the same and Z is

wherein each

represents a point of attachment to the compound, X is selected from:

and

-   -   Y of Formula (XXXIII) is independently selected from:

wherein:

represents a point of attachment to a —C═O portion of the compound;

represents a point of attachment to a —NH portion of the compound;

represents a first point of attachment to Z;

represents a second point of attachment to Z;

-   -   m is an integer from 0-3;     -   n is an integer from 1-3;     -   p is an integer from 0-4; and     -   A is —C(O)R³;     -   R³ is selected from —C(O)R³ is OH, NHCN, NHSO₂R¹⁰, NHOR¹¹ or         N(R¹²)(R¹³);     -   R¹⁰ and F¹¹ of NHSO₂R¹⁰ and NHOR¹¹ are independently selected         from hydrogen, optionally substituted —C₁-C₄ alkyl, cycloalkyl,         aryl, heteroaryl, heterocyclyl or heterocycloalkyl;     -   R¹² and R¹³ of N(R¹²)(R¹³) are independently selected from         hydrogen, —C₁-C₄ alkyl, —(C₁-C₄) alkylene)-NH—(C₁-C₄ alkyl), and         —(C₁-C₄ alkylene)-O—(C₁-C₄ hydroxyalkyl), or R¹² and R¹³ taken         together with the nitrogen atom to which they are commonly bound         to form a saturated heterocyclyl optionally comprising one         additional heteroatom selected from N, O and S, and wherein the         saturated heterocycle is optionally substituted with methyl.

In any of the compounds described herein, the ILM can have the structure of Formula (XXXIV) or (XXXV), which are derived from the IAP ligands described in WO Pub. No. 2014/047024, or an unnatural mimetic thereof:

-   -   wherein:     -   X of Formula (XXXIV) or (XXXV) is absent or a group selected         from —(CR¹⁰R¹¹)_(m)—, optionally substituted heteroaryl or         optionally substituted heterocyclyl,

-   -   -   Y and Z of Formula (XXXIV) or (XXXV) are independently             selected from C═O, —O—, —NR⁹—, —CONH—, —NHCO— or may be             absent;

    -   R¹ and R² of Formula (XXXIV) or (XXXV) are independently         selected from an optionally substituted alkyl, optionally         substituted cycloalkyl, optionally substituted cycloalkylalkyl,         optionally substituted arylalkyl, optionally substituted aryl,         or

    -   R¹ and R² of Formula (XXXIV) or (XXXV) are independently         selected from optionally substituted thioalkyl wherein the         substituents attached to the S atom of the thioalkyl are         optionally substituted alkyl, optionally substituted branched         alkyl, optionally substituted heterocyclyl, —(CH₂)_(v)COR²⁰,         —CH₂CHR²¹COR²² or —CH₂R²³; wherein         -   v is an integer from 1-3;         -   R²⁰ and R²² of —(CH₂)_(v)COR²⁰ and —CH₂CHR²¹COR²² are             independently selected from OH, NR²⁴R²⁵ or OR²⁶;         -   R²¹ of —CH₂CHR²¹COR²² is selected from NR²⁴R²⁵;         -   R²³ of —CH₂R²³ are selected from an optionally substituted             aryl or optionally substituted heterocyclyl, where the             optional substituents include alkyl and halogen;         -   R²⁴ of NR²⁴R²⁵ is selected from hydrogen or optionally             substituted alkyl;         -   R²⁵ of NR²⁴R²⁵ is selected from hydrogen, optionally             substituted alkyl, optionally substituted branched alkyl,             optionally substituted arylalkyl, optionally substituted             heterocyclyl, —CH₂(OCH₂CH²⁰)mCH3, or a polyamine chain;         -   R²⁶ is an optionally substituted alkyl, wherein the optional             substituents are OH, halogen or NH₂;         -   m of —(CR¹⁰R¹¹)_(m)— is an integer from 1-8;         -   R³ and R⁴ of Formula (XXXIV) or (XXXV) are independently             selected from optionally substituted alkyl, optionally             substituted cycloalkyl, optionally substituted aryl,             optionally substituted arylalkyl, optionally substituted             arylalkoxy, optionally substituted heteroaryl, optionally             substituted heterocyclyl, optionally substituted             heteroarylalkyl or optionally substituted heterocycloalkyl,             wherein the substituents are alkyl, halogen or OH;

    -   R⁵, R⁶, R⁷ and R⁸ of Formula (XXXIV) or (XXXV) are independently         selected from hydrogen, optionally substituted alkyl or         optionally substituted cycloalkyl;

    -   R¹⁰ and R¹¹ of —(CR₁₀R¹¹)_(m)— are independently selected from         hydrogen, halogen or optionally substituted alkyl;

    -   R¹² and R¹³ of

are independently selected from hydrogen, halogen or optionally substituted alkyl, or R¹² and R¹³ can be taken together to form a carbocyclic ring;

R¹⁴, R¹⁵, R¹⁶, R¹⁷ and R¹⁸ of

are independently selected from hydrogen, halogen, optionally substituted alkyl or OR¹⁹;

-   -   R¹⁹ of OR¹⁹ is selected from hydrogen, optionally substituted         alkyl or optionally substituted cycloalkyl;     -   m and n of —(CR¹⁰R¹¹)_(m)— are independently 0, 1, 2, 3, or 4;     -   o and p of —(CR¹⁰R¹¹)_(m)— are independently 0, 1, 2 or 3;     -   q of —(CR¹⁰R¹¹)_(m)— is 0, 1, 2, 3, or 4; r is 0 or 1;     -   t of —(CR¹⁰R¹¹)_(m)— is 1, 2, or 3; and/or a pharmaceutically         acceptable salt, tautomer or stereoisomer thereof.

In any of the compounds described herein, the ILM can have the structure of Formula (XXXVI), which are derived from the IAP ligands described in WO Pub. No. 2014/025759, or an unnatural mimetic thereof:

where:

-   -   A of Formula (XXXVI) is selected from:

where the dotted line represents an optional double bond;

-   -   X of Formula (XXXVI) is selected from: —(CR²¹R²²)_(m)—,

-   -   Y and Z of Formula (XXXVI) are independently selected from -0-,         —NR⁶— or are absent;     -   V of Formula (XXXVI) is selected from —N— or —CH—;     -   W of Formula (XXXVI) is selected from —CH— or —N—;     -   R¹ of Formula (XXXVI) is selected from an optionally substituted         alkyl, optionally substituted cycloalkyl, optionally substituted         cycloalkylalkyl, optionally substituted arylalkyl or optionally         substituted aryl;     -   R³ and R⁴ of Formula (XXXVI) are independently selected from         optionally substituted alkyl, optionally substituted cycloalkyl,         optionally substituted aryl, optionally substituted heteroaryl,         optionally substituted heterocyclyl, optionally substituted         arylalkyl, optionally substituted heteroarylalkyl or optionally         substituted heterocycloalkyl;     -   R⁵, R⁶, R⁷ and R⁸ of Formula (XXIV), (XXV) or (XXVI) are         independently selected from hydrogen, optionally substituted         alkyl or optionally substituted cycloalkyl, or preferably         methyl;     -   R⁹ and R¹⁰ of

are independently selected from hydrogen, halogen or optionally substituted alkyl, or R⁹ and R¹⁰ can be taken together to form a ring;

-   -   R¹¹, R¹², R¹³ and R¹⁴ of

are independently selected from hydrogen, halogen, optionally substituted alkyl or OR¹⁵;

-   -   R¹⁵ of OR¹⁵ is selected from hydrogen, optionally substituted         alkyl or optionally substituted cycloalkyl;     -   m and n of —(CR²¹R²²)_(m)— and

are independently selected from 0, 1, 2, 3, or 4;

-   -   o and p of

and are independently selected from 0, 1, 2 or 3;

q of is

selected from 0, 1, 2, 3, or 4;

-   -   r of

is selected from 0 or 1, and/or or a pharmaceutically acceptable salt, tautomer or stereoisomer thereof.

In any of the compounds described herein, the ILM can have the structure of Formula (XXXVII) or (XXXVIII), which are derived from the IAP ligands described in WO Pub. No. 2014/011712, or an unnatural mimetic thereof:

where:

-   -   X of Formulas (XXXVII) and (XXXVIII) is —(CR¹⁶R¹⁷)_(m)—,

-   -   -   or absent;

    -   Y and Z of Formula (XXXVII) and (XXXVIII) are independently         selected from -0-, C═O, NR⁶ or are absent;

    -   R¹ and R² of Formula (XXXVII) and (XXXVIII) are selected from         optionally substituted alkyl, optionally substituted cycloalkyl,         optionally substituted alkylaryl or optionally substituted aryl;

    -   R³ and R⁴ of Formula (XXXVII) and (XXXVIII) are independently         selected from optionally substituted alkyl, optionally         substituted cycloalkyl, optionally substituted cycloalkylalkyl,         optionally substituted arylalkyl or optionally substituted aryl;

    -   R⁵ and R⁶ of Formula (XXXVII) and (XXXVIII) are independently         selected from optionally substituted alkyl or optionally         substituted cycloalkyl;

    -   R⁷ and R⁸ of Formula (XXXVII) and (XXXVIII) are independently         selected from hydrogen, optionally substituted alkyl or         optionally substituted cycloalkyl, or preferably methyl;

    -   R⁹ and R¹⁰ of

are independently selected from hydrogen, optionally substituted alkyl, or R⁹ and R¹⁰ may be taken together to form a ring;

-   -   R¹¹ to R¹⁴ of

are independently selected from hydrogen, halogen, optionally substituted alkyl or OR¹⁵;

-   -   R¹⁵ of OR¹⁵ is selected from hydrogen, optionally substituted         alkyl or optionally substituted cycloalkyl;     -   R¹⁶ and R¹⁷ of —(CR¹⁶R¹⁷)_(m)— are independently selected from         hydrogen, halogen or optionally substituted alkyl;     -   R⁵⁰ and R⁵¹ of Formula (XXXVII) and (XXXVIII) are independently         selected from optionally substituted alkyl, or R⁵⁰ and R⁵¹ are         taken together to form a ring;

m and n of —(CR¹⁶R¹⁷)_(m)— and

are independently an integer from 0-4;

-   -   o and p of

are independently an integer from 0-3;

-   -   q of

is an integer from 0-4; and

r of

is an integer from 0-1;

or a pharmaceutically acceptable salt, tautomer or stereoisomer thereof.

In an embodiment, R¹ and R² of the ILM of Formula (XXXVII) or (XXXVIII) are t-butyl and R³ and R⁴ of the ILM of Formula (XXXVII) or (XXXVIII) are tetrahydronaphtalene.

In any of the compounds described herein, the ILM can have the structure of Formula (XXXIX) or (XL), which are derived from the IAP ligands described in WO Pub. No. 2013/071039, or an unnatural mimetic thereof:

wherein:

-   -   R⁴³ and R⁴⁴ of Formulas (XXXIX) and (XL) are independently         selected from hydrogen, alkyl, aryl, arylalkyl, heteroaryl,         heteroarylalkyl, cycloalkyl, cycloalkylalkyl further optionally         substituted, and     -   R⁶ and R⁸ of Formula (XXXIX) and (XL) are independently selected         from hydrogen, optionally substituted alkyl or optionally         substituted cycloalkyl.     -   each X of Formulas (XXXIX) and (XL) is independently selected         from:

-   -   each Z of Formulas (XXXIX) and (XL) is selected from

wherein each

represents a point of attachment to the compound; and

-   -   each Y is selected from:

represents a point of attachment to a —C=0 portion of the compound;

represents a point of attachment to an amino portion of the compound;

represents a first point of attachment to Z;

represents a second point of attachment to Z; and

-   -   A is selected from —C(O)R³ or

-   -   or a tautomeric form of any of the foregoing, wherein:     -   R³ of —C(O)R³ is selected from OH, NHCN, NHSO₂R¹⁰, NHOR¹¹ or         N(R¹²)(R¹³);     -   R¹⁰ and R¹¹ of NHSO₂R¹⁰ and NHOR¹¹ are independently selected         from —C₁-C₄ alkyl, cycloalkyl, aryl, heteroaryl, or         heterocycloalkyl, any of which are optionally substituted, and         hydrogen;     -   each of R¹² and R¹³ of N(R¹²)(R¹³) are independently selected         from hydrogen, —C₁-C₄ alkyl, —(C₁-C₄ alkylene)-NH—(C₁-C₄ alkyl),         benzyl, —(C₁-C₄ alkylene)-C(O)OH, —(C₁-C₄ alkylene)-C(O)CH₃,         —CH(benzyl)-COOH, —C₁-C₄ alkoxy, and —(C₁-C₄ alkylene)-O—(C₁-C₄         hydroxyalkyl); or R¹² and R¹³ of N(R¹²)(R¹³) are taken together         with the nitrogen atom to which they are commonly bound to form         a saturated heterocyclyl optionally comprising one additional         heteroatom selected from N, O and S, and wherein the saturated         heterocycle is optionally substituted with methyl.

In any of the compounds described herein, the ILM can have the structure of Formula (XLI), which are derived from the IAP ligands described in WO Pub. No. 2013/071039, or an unnatural mimetic thereof:

wherein:

-   -   W¹ of Formula (XLI) is selected from O, S, N—R^(A), or         C(R^(8a))(R^(8b));     -   W² of Formula (XLI) is selected from O, S, N—R^(A), or         C(R^(8c))(R^(8d)); provided that W¹ and W² are not both O, or         both S;     -   R¹ of Formula (XLI) is selected from H, C₁-C₆alkyl,         C₃-C₆cycloalkyl, —C₁-C₆alkyl-(substituted or unsubstituted         C₃-C₆cycloalkyl), substituted or unsubstituted aryl, substituted         or unsubstituted heteroaryl, —C₁-C₆alkyl-(substituted or         unsubstituted aryl), or —C₁-C₆alkyl-(substituted or         unsubstituted heteroaryl);     -   when X¹ is selected from O, N—R^(A), S, S(O), or S(O)₂, then X²         is C(R^(2a)R^(2b)); or:     -   X¹ of Formula (XLI) is selected from CR^(2c)R^(2d) and X² is         CR^(2a)R^(2b), and R^(2c) and R^(2a) together form a bond; or:     -   X¹ and X² of Formula (XLI) are independently selected from C and         N, and are members of a fused substituted or unsubstituted         saturated or partially saturated 3-10 membered cycloalkyl ring,         a fused substituted or unsubstituted saturated or partially         saturated 3-10 membered heterocycloalkyl ring, a fused         substituted or unsubstituted 5-10 membered aryl ring, or a fused         substituted or unsubstituted 5-10 membered heteroaryl ring; or:     -   X¹ of Formula (XLI) is selected from CH₂ and X² is C═O,         C═C(R^(C))₂, or C═NR^(C); where each     -   R^(c) is independently selected from H, —CN, —OH, alkoxy,         substituted or unsubstituted C₁-C₆alkyl, substituted or         unsubstituted C₃-C₆cycloalkyl, substituted or unsubstituted         C₂-C₅heterocycloalkyl, substituted or unsubstituted aryl,         substituted or unsubstituted heteroaryl,         —C₁-C₆alkyl-(substituted or unsubstituted C₃-C₆cycloalkyl),         —C₁-C₆alkyl-(substituted or unsubstituted         C₂-C₅heterocycloalkyl), —C₁-C₆alkyl- (substituted or         unsubstituted aryl), or —C₁-C₆alkyl-(substituted or         unsubstituted heteroaryl);     -   R^(A) of N—R^(A) is selected from H, C₁-C₆alkyl,         —C(═O)C₁-C₂alkyl, substituted or unsubstituted aryl, or         substituted or unsubstituted heteroaryl;

R^(2a), R^(2b), R^(2c), R^(2d) of CR^(2c)CR^(2d) and CR^(2a)R^(2b) are independently selected from H, substituted or unsubstituted C1-C6alkyl, substituted or unsubstituted C₁-C₆heteroalkyl, substituted or unsubstituted C₃-C₆cycloalkyl, substituted or unsubstituted C₂-C₅heterocycloalkyl, substituted or unsubstituted aryl, substituted or unsubstituted heteroaryl, —C₁-C₆alkyl-(substituted or unsubstituted C₃-C₆cycloalkyl), —C₁-C₆alkyl-(substituted or unsubstituted C₂-C₅heterocycloalkyl), —C₁-C₆alkyl- (substituted or unsubstituted aryl), —C₁-C₆alkyl- (substituted or unsubstituted heteroaryl) and —C(═O)R^(B);

-   -   R^(B) of —C(═O)R^(B) is selected from substituted or         unsubstituted C₁-C₆alkyl, substituted or unsubstituted         C₃-C₆cycloalkyl, substituted or unsubstituted         C₂-C₅heterocycloalkyl, substituted or unsubstituted aryl,         substituted or unsubstituted heteroaryl,         —C₁-C₆alkyl-(substituted or unsubstituted C₃-C₆cycloalkyl),         —C₁-C₆alkyl-(substituted or unsubstituted         C₂-C₅heterocycloalkyl), —C₁-C₆alkyl- (substituted or         unsubstituted aryl), —C₁-C₆alkyl- (substituted or unsubstituted         heteroaryl), or —NR^(D)R^(E);     -   R^(D) and R^(E) of NR^(D)R^(E) are independently selected from         H, substituted or unsubstituted C₁-C₆alkyl, substituted or         unsubstituted C₃-C₆cycloalkyl, substituted or unsubstituted         C₂-C₅heterocycloalkyl, substituted or unsubstituted aryl,         substituted or unsubstituted heteroaryl, —C₁-C₆alkyl-         (substituted or unsubstituted C₃-C₆cycloalkyl),         —C₁-C₆alkyl-(substituted or unsubstituted         C₂-C₅heterocycloalkyl), —C₁-C₆alkyl-(substituted or         unsubstituted aryl), or —C₁-C₆alkyl- (substituted or         unsubstituted heteroaryl);     -   m of Formula (XLI) is selected from 0, 1 or 2;     -   —U— of Formula (XLI) is selected from —NHC(═O)—, —C(═O)NH—,         —NHS(═O)₂—, —S(═O)₂NH—, —NHC(═O)NH—, —NH(C═O)O—, —O(C═O)NH—, or         —NHS(═O)₂NH—;     -   R³ of Formula (XLI) is selected from C₁-C₃alkyl, or         C₁-C₃fluoroalkyl;     -   R⁴ of Formula (XLI) is selected from —NHR⁵, —N(R⁵)2, —N+(R⁵)3 or         —OR⁵;     -   each R⁵ of —NHR⁵, —N(R⁵)2, —N+(R⁵)3 and —OR⁵ is independently         selected from H, C₁-C₃alkyl, C₁-C₃haloalkyl, C₁-C₃hetero alkyl         and —C₁-C₃alkyl-(C₃-C₅cycloalkyl); or:     -   R³ and R⁵ of Formula (XLI) together with the atoms to which they         are attached form a substituted or unsubstituted 5-7 membered         ring; or:     -   R³ of Formula (XLI) is bonded to a nitrogen atom of U to form a         substituted or unsubstituted 5-7 membered ring;     -   R⁶ of Formula (XLI) is selected from —NHC(═O)R⁷, —C(═O)NHR⁷,         —NHS(═O)2R⁷, —S(═O)₂NHR⁷; —NHC(═O)NHR⁷, —NHS(═O)₂NHR⁷,         —(C₁-C₃alkyl)-NHC(═O)R⁷, —(C₁-C₃alkyl)-C(═O)NHR⁷,         —(C₁-C₃alkyl)-NHS(═O)2R⁷, —(C₁-C₃alkyl)-S(═O)2NHR⁷;         —(C₁-C₃alkyl)-NHC(═O)NHR⁷, —(C₁-C₃alkyl)-NHS(═O)2NHR⁷,         substituted or unsubstituted C₂-C₁₀heterocycloalkyl, or         substituted or unsubstituted heteroaryl;     -   each R⁷ of —NHC(═O)R⁷, —C(═O)NHR⁷, —NHS(═O)2R⁷, —S(═O)₂NHR⁷;         —NHC(═O)NHR⁷, —NHS(═O)₂NHR⁷, —(C₁-C₃alkyl)-NHC(═O)R⁷,         —(C₁-C₃alkyl)-C(═O)NHR⁷, —(C₁-C₃alkyl)-NHS(═O)2R⁷,         —(C₁-C₃alkyl)-S(═O)2NHR⁷; —(C₁-C₃alkyl)-NHC(═O)NHR⁷,         —(C₁-C₃alkyl)-NHS(═O)2NHR⁷ is independently selected from         C₁-C₆alkyl, C₁-C₆haloalkyl, C₁-C₆heteroalkyl, a substituted or         unsubstituted C3-C₁₀cycloalkyl, a substituted or unsubstituted         C₂-C₁₀heterocycloalkyl, a substituted or unsubstituted aryl, a         substituted or unsubstituted heteroaryl,         —C₁-C₆alkyl-(substituted or unsubstituted C₃-C₁₀cycloalkyl),         —C₁-C₆alkyl-(substituted or unsubstituted         C2-C10heterocycloalkyl, —C1-C6alkyl-(substituted or         unsubstituted aryl), —C₁-C₆alkyl-(substituted or unsubstituted         heteroaryl), —(CH2)p-CH(substituted or unsubstituted aryl)2,         —(CH₂)_(p)—CH(substituted or unsubstituted heteroaryl)2,         —(CH₂)p-CH(substituted or unsubstituted aryl)(substituted or         unsubstituted heteroaryl), -(substituted or unsubstituted         aryl)-(substituted or unsubstituted aryl), -(substituted or         unsubstituted aryl)-(substituted or unsubstituted heteroaryl),         -(substituted or unsubstituted heteroaryl)-(substituted or         unsubstituted aryl), or -(substituted or unsubstituted         heteroaryl)-(substituted or unsubstituted heteroaryl);     -   p of R⁷ is selected from 0, 1 or 2;     -   R^(8a), R^(8b), R^(8c), and R^(8d) of C(R^(8a))(R^(8b)) and         C(R^(8c))(R^(8d)) are independently selected from H, C₁-C₆alkyl,         C₁-C₆fluoroalkyl, C₁-C₆ alkoxy, C₁-C₆heteroalkyl, and         substituted or unsubstituted aryl; or:     -   R^(8a) and R^(8d) are as defined above, and R^(8b) and R^(8c)         together form a bond; or:     -   R^(8a) and R^(8d) are as defined above, and R^(8b) and R^(8c)         together with the atoms to which they are attached form a         substituted or unsubstituted fused 5-7 membered saturated, or         partially saturated carbocyclic ring or heterocyclic ring         comprising 1-3 heteroatoms selected from S, O and N, a         substituted or unsubstituted fused 5-10 membered aryl ring, or a         substituted or unsubstituted fused 5-10 membered heteroaryl ring         comprising 1-3 heteroatoms selected from S, O and N; or:     -   R^(8c) and R^(8d) are as defined above, and R^(8a) and R^(8b)         together with the atoms to which they are attached form a         substituted or unsubstituted saturated, or partially saturated         3-7 membered spirocycle or heterospirocycle comprising 1-3         heteroatoms selected from S, O and N; or:     -   R^(8a) and R^(8b) are as defined above, and R^(8c) and R^(8d)         together with the atoms to which they are attached form a         substituted or unsubstituted saturated, or partially saturated         3-7 membered spirocycle or heterospirocycle comprising 1-3         heteroatoms selected from S, O and N; where each substituted         alkyl, heteroalkyl, fused ring, spirocycle, heterospirocycle,         cycloalkyl, heterocycloalkyl, aryl or heteroaryl is substituted         with 1-3 R⁹; and

each R⁹ of R^(8a), R^(8b), R^(8c) and R^(8d) is independently selected from halogen, —OH, —SH, (C═O), CN, C₁-C₄alkyl, C1-C4fluoroalkyl, C₁-C₄ alkoxy, C₁-C₄ fluoroalkoxy, —NH₂, —NH(C₁-C₄alkyl), —NH(C₁-C₄alkyl)₂, —C(═O)OH, —C(═O)NH₂, —C(═O)C₁-C₃alkyl, —S(═O)₂CH₃, —NH(C₁-C₄alkyl)-OH, —NH(C₁-C₄alkyl)-O—(C₁-C₄alkyl), —O(C₁-C₄alkyl)-NH2; —O(C₁-C₄alkyl)-NH—(C₁-C₄alkyl), and —O(C₁-C₄alkyl)-N—(C₁-C₄alkyl)₂, or two R⁹ together with the atoms to which they are attached form a methylene dioxy or ethylene dioxy ring substituted or unsubstituted with halogen, —OH, or C₁-C₃alkyl. In any of the compounds described herein, the ILM can have the structure of Formula (XLII), which are derived from the IAP ligands described in WO Pub. No. 2013/071039, or an unnatural mimetic thereof:

wherein:

-   -   W¹ of Formula (XLII) is O, S, N—R^(A), or C(R^(8a))(R^(8b));     -   W² of Formula (XLII) is O, S, N—R^(A), or C(R^(8c))(R^(8d));         provided that W¹ and W² are not both O, or both S;     -   R¹ of Formula (XLII) is selected from H, C₁-C₆alkyl,         C₃-C₆cycloalkyl, —C₁-C₆alkyl-(substituted or unsubstituted         C₃-C₆cycloalkyl), substituted or unsubstituted aryl, substituted         or unsubstituted heteroaryl, —C₁-C₆alkyl-(substituted or         unsubstituted aryl), or —C₁-C₆alkyl-(substituted or         unsubstituted heteroaryl);     -   when X¹ of Formula (XLII) is N—R^(A), then X² is C═O, or         CR_(2c)R^(2d), and X³ is CR^(2a)R^(2b); or:     -   when X¹ of Formula (XLII) is selected from S, S(O), or S(O)₂,         then X² is CR^(2c)R^(2d), and X³ is CR^(2a)R^(2b), or:     -   when X¹ of Formula (XLII) is O, then X² is CR^(2c)R^(2d) and         N—R^(A) and X³ is CR^(2a)R^(2b); or:     -   when X¹ of Formula (XLII) is CH₃, then X² is selected from O,         N—R^(A), S, S(O), or S(O)₂, and X³ is CR^(2a)R^(2b);     -   when X¹ of Formula (XLII) is CR^(2e)R^(2f) and X² is         CR^(2c)R^(2d), and R^(2e) and R^(2c) together form a bond, and         X³ of Formula (VLII) is CR^(2a)R^(2b);

or:

-   -   X¹ and X³ of Formula (XLII) are both CH₂ and X² of         Formula (XLII) is C═O, C═C(R^(C))2, or C═NR^(C); where each         R^(C) is independently selected from H, —CN, —OH, alkoxy,         substituted or unsubstituted C1-C6alkyl, substituted or         unsubstituted C₃-C₆cycloalkyl, substituted or unsubstituted         C₂-C₅heterocycloalkyl, substituted or unsubstituted aryl,         substituted or unsubstituted heteroaryl,         —C₁-C₆alkyl-(substituted or unsubstituted C₃-C₆cycloalkyl),         —C₁-C₆alkyl-(substituted or unsubstituted         C₂-C₅heterocycloalkyl), —C₁-C₆alkyl-(substituted or         unsubstituted aryl), or —C₁-C₆alkyl- (substituted or         unsubstituted heteroaryl); or:     -   X¹ and X² of Formula (XLII) are independently selected from C         and N, and are members of a fused substituted or unsubstituted         saturated or partially saturated 3-10 membered cycloalkyl ring,         a fused substituted or unsubstituted saturated or partially         saturated 3-10 membered heterocycloalkyl ring, a fused         substituted or unsubstituted 5-10 membered aryl ring, or a fused         substituted or unsubstituted 5-10 membered heteroaryl ring, and         X³ is CR^(2a)R^(2b); or:     -   X² and X³ of Formula, (XLII) are independently selected from C         and N, and are members of a fused substituted or unsubstituted         saturated or partially saturated 3-10 membered cycloalkyl ring,         a fused substituted or unsubstituted saturated or partially         saturated 3-10 membered heterocycloalkyl ring, a fused         substituted or unsubstituted 5-10 membered aryl ring, or a fused         substituted or unsubstituted 5-10 membered heteroaryl ring, and         X¹ of Formula (VLII) is CR^(2e)R^(2f);     -   R^(A) of N—R^(A) is selected from H, C₁-C₆alkyl,         —C(═O)C₁-C₂alkyl, substituted or unsubstituted aryl, or         substituted or unsubstituted heteroaryl;

R², R^(2b), R^(2c), R^(2d), R^(2e), and R^(2f) of CR^(2c)R^(2d), CR^(2a)R^(2b) and CR^(2e)R^(2f) are independently selected from H, substituted or unsubstituted C1-C6alkyl, substituted or unsubstituted C₁-C₆heteroalkyl, substituted or unsubstituted C₃-C₆cycloalkyl, substituted or unsubstituted C₂-C₅heterocycloalkyl, substituted or unsubstituted aryl, substituted or unsubstituted heteroaryl, —C₁-C₆alkyl-(substituted or unsubstituted C₃-C₆cycloalkyl), —C₁-C₆alkyl-(substituted or unsubstituted C₂-C₅heterocycloalkyl), —C₁-C₆alkyl-(substituted or unsubstituted aryl), —C₁-C₆alkyl-(substituted or unsubstituted heteroaryl) and —C(═O)R^(B);

-   -   R^(B) of —C(═O)R^(B) is selected from substituted or         unsubstituted C₁-C₆alkyl, substituted or unsubstituted         C₃-C₆cycloalkyl, substituted or unsubstituted         C₂-C₅heterocycloalkyl, substituted or unsubstituted aryl,         substituted or unsubstituted heteroaryl,         —C₁-C₆alkyl-(substituted or unsubstituted C₃-C₆cycloalkyl),         —C₁-C₆alkyl-(substituted or unsubstituted         C₂-C₅heterocycloalkyl), —C₁-C₆alkyl- (substituted or         unsubstituted aryl), —C₁-C₆alkyl-(substituted or unsubstituted         heteroaryl), or —NR^(D)R^(E);     -   R^(D) and R^(E) of NR^(D)R^(E) are independently selected from         H, substituted or unsubstituted C₁-C₆alkyl, substituted or         unsubstituted C₃-C₆cycloalkyl, substituted or unsubstituted         C₂-C₅heterocycloalkyl, substituted or unsubstituted aryl,         substituted or unsubstituted heteroaryl, —C₁-C₆alkyl-         (substituted or unsubstituted C₃-C₆cycloalkyl),         —C₁-C₆alkyl-(substituted or unsubstituted         C₂-C₅heterocycloalkyl), —C₁-C₆alkyl-(substituted or         unsubstituted aryl), or —C₁-C₆alkyl- (substituted or         unsubstituted heteroaryl);     -   m of Formula (XLII) is selected from 0, 1 or 2;     -   —U— of Formula (XLII) is selected from —NHC(═O)—, —C(═O)NH—,         —NHS(═O)₂—, —S(═O)₂NH—, —NHC(═O)NH—, —NH(C═O)O—, —O(C═O)NH—, or         —NHS(═O)₂NH—;     -   R³ of Formula (XLII) is selected from C₁-C₃alkyl, or         C₁-C₃fluoroalkyl;     -   R⁴ of Formula (XLII) is selected from —NHR⁵, —N(R⁵)₂, —N+(R⁵)₃         or —OR⁵;     -   each R⁵ of —NHR⁵, —N(R⁵)₂, —N+(R⁵)₃ and —OR⁵ is independently         selected from H, C₁-C₃alkyl, C₁-C₃haloalkyl, C₁-C₃hetero alkyl         and —C₁-C₃alkyl-(C₃-C₅cycloalkyl); or:     -   R³ and R⁵ of Formula (XLII) together with the atoms to which         they are attached form a substituted or unsubstituted 5-7         membered ring; or:     -   R³ of Formula (XLII) is bonded to a nitrogen atom of U to form a         substituted or unsubstituted 5-7 membered ring;     -   R⁶ of Formula (XLII) is selected from —NHC(═O)R⁷, —C(═O)NHR⁷,         —NHS(═O)2R⁷, —S(═O)₂NHR⁷; —NHC(═O)NHR⁷, —NHS(═O)₂NHR⁷,         —(C₁-C₃alkyl)-NHC(═O)R⁷, —(C₁-C₃alkyl)-C(═O)NHR⁷,         —(C₁-C₃alkyl)-NHS(═O)₂R⁷, —(C₁-C₃alkyl)-S(═O)₂NHR⁷;         —(C₁-C₃alkyl)-NHC(═O)NHR⁷, —(C₁-C₃alkyl)-NHS(═O)₂NHR⁷,         substituted or unsubstituted C₂-C₁₀heterocycloalkyl, or         substituted or unsubstituted heteroaryl;     -   each R⁷ of —NHC(═O)R⁷, —C(═O)NHR⁷, —NHS(═O)2R⁷, —S(═O)₂NHR⁷;         —NHC(═O)NHR⁷, —NHS(═O)₂NHR⁷, —(C₁-C₃alkyl)-NHC(═O)R⁷,         —(C₁-C₃alkyl)-C(═O)NHR⁷, —(C₁-C₃alkyl)-NHS(═O)2R⁷,         —(C₁-C₃alkyl)-S(═O)2NHR⁷; —(C₁-C₃alkyl)-NHC(═O)NHR⁷,         —(C₁-C₃alkyl)-NHS(═O)2NHR⁷ is independently selected from         C₁-C₆alkyl, C₁-C₆haloalkyl, C₁-C₆heteroalkyl, a substituted or         unsubstituted C3-C10cycloalkyl, a substituted or unsubstituted         C₂-C₁₀heterocycloalkyl, a substituted or unsubstituted aryl, a         substituted or unsubstituted heteroaryl,         —C₁-C₆alkyl-(substituted or unsubstituted C₃-C₁₀cycloalkyl),         —C₁-C₆alkyl-(substituted or unsubstituted         C2-C10heterocycloalkyl, —C1-C6alkyl-(substituted or         unsubstituted aryl), —C₁-C₆alkyl-(substituted or unsubstituted         heteroaryl), —(CH2)p-CH(substituted or unsubstituted aryl)2,         —(CH₂)_(p)—CH(substituted or unsubstituted heteroaryl)2,         —(CH₂)p-CH(substituted or unsubstituted aryl)(substituted or         unsubstituted heteroaryl), -(substituted or unsubstituted         aryl)-(substituted or unsubstituted aryl), -(substituted or         unsubstituted aryl)-(substituted or unsubstituted heteroaryl),         -(substituted or unsubstituted heteroaryl)-(substituted or         unsubstituted aryl), or -(substituted or unsubstituted         heteroaryl)-(substituted or unsubstituted heteroaryl);     -   p of R⁷ is selected from 0, 1 or 2;     -   R^(8a), R^(8b), R^(8c), and R^(8d) of C(R^(8a))(R^(8b)) and         C(R^(8c))(R^(8d)) are independently selected from H, C₁-C₆alkyl,         C₁-C₆fluoroalkyl, C₁-C₆ alkoxy, C₁-C₆heteroalkyl, and         substituted or unsubstituted aryl; or:     -   R^(8a) and R^(8d) are as defined above, and R^(8b) and R^(8c)         together form a bond; or:     -   R^(8a) and R^(8d) are as defined above, and R^(8b) and R^(8c)         together with the atoms to which they are attached form a         substituted or unsubstituted fused 5-7 membered saturated, or         partially saturated carbocyclic ring or heterocyclic ring         comprising 1-3 heteroatoms selected from S, O and N, a         substituted or unsubstituted fused 5-10 membered aryl ring, or a         substituted or unsubstituted fused 5-10 membered heteroaryl ring         comprising 1-3 heteroatoms selected from S, O and N; or:     -   R^(8c) and R^(8d) are as defined above, and R^(8a) and R^(8b)         together with the atoms to which they are attached form a         substituted or unsubstituted saturated, or partially saturated         3-7 membered spirocycle or heterospirocycle comprising 1-3         heteroatoms selected from S, O and N; or:     -   R^(8a) and R^(8b) are as defined above, and R^(8c) and R^(8d)         together with the atoms to which they are attached form a         substituted or unsubstituted saturated, or partially saturated         3-7 membered spirocycle or heterospirocycle comprising 1-3         heteroatoms selected from S, O and N; where each substituted         alkyl, heteroalkyl, fused ring, spirocycle, heterospirocycle,         cycloalkyl, heterocycloalkyl, aryl or heteroaryl is substituted         with 1-3 R⁹; and     -   each R⁹ of R^(8a), R^(8b), R^(8c) and R^(8d) is independently         selected from halogen, —OH, —SH, (C═O), CN, C₁-C₄alkyl,         C1-C4fluoroalkyl, C₁-C₄ alkoxy, C₁-C₄ fluoroalkoxy, —NH₂,         —NH(C₁-C₄alkyl), —NH(C₁-C₄alkyl)₂, —C(═O)OH, —C(═O)NH₂,         —C(═O)C₁-C₃alkyl, —S(═O)₂CH₃, —NH(C₁-C₄alkyl)-OH,         —NH(C₁-C₄alkyl)-O—(C₁-C₄alkyl), —O(C₁-C₄alkyl)-NH2;         —O(C₁-C₁alkyl)-NH—(C₁-C₄alkyl), and         —O(C₁-C₄alkyl)-N—(C₁-C₄alkyl)₂, or two R⁹ together with the         atoms to which they are attached form a methylene dioxy or         ethylene dioxy ring substituted or unsubstituted with halogen,         —OH, or C₁-C₃alkyl.

In any of the compounds described herein, the ILM can have the structure of Formula (XLIII), which is derived from the IAP ligands described in WO Pub. No. 2013/071039, or an unnatural mimetic thereof:

wherein:

-   -   W¹ of Formula (XLIII) is selected from O, S, N—R^(A), or         C(R^(8a))(R^(8b));     -   W² of Formula (XLIII) is selected from O, S, N—R^(A), or         C(R^(8c))(R^(8d)); provided that W¹ and W² are not both O, or         both S;     -   R¹ of Formula (XLIII) is selected from H, C₁-C₆alkyl,         C₃-C₆cycloalkyl, —C₁-C₆alkyl-(substituted or unsubstituted         C₃-C₆cycloalkyl), substituted or unsubstituted aryl, substituted         or unsubstituted heteroaryl, —C₁-C₆alkyl-(substituted or         unsubstituted aryl), or —C₁-C₆alkyl-(substituted or         unsubstituted heteroaryl);     -   when X¹ of Formula (XLIII) is selected from N—R^(A), S, S(O), or         S(O)₂, then X² of Formula (XLIII) is CR^(2c)R^(2d); and X³ of         Formula (XLIII) is CR^(2a)R^(2b); or:     -   when X¹ of Formula (XLIII) is O, then X² of Formula (XLIII) is         selected from O, N—R^(A), S, S(O), or S(O)₂, and X³ of         Formula (XLIII) is CR^(2a)R^(2b); or:     -   when X¹ of Formula (XLIII) is CR^(2e)R^(2f) and X² of         Formula (XLIII) is CR^(2c)R^(2d), and R^(2e) and R^(2c) together         form a bond, and X³ of Formula (XLIII) is CR^(2a)R^(2b); or:     -   X¹ and X² of Formula (XLIII) are independently selected from C         and N, and are members of a fused substituted or unsubstituted         saturated or partially saturated 3-10 membered cycloalkyl ring,         a fused substituted or unsubstituted saturated or partially         saturated 3-10 membered heterocycloalkyl ring, a fused         substituted or unsubstituted 5-10 membered aryl ring, or a fused         substituted or unsubstituted 5-10 membered heteroaryl ring, and         X³ of Formula (XLIII) is CR^(2a)R^(2b); or:     -   X² and X³ of Formula (XLIII) are independently selected from C         and N, and are members of a fused substituted or unsubstituted         saturated or partially saturated 3-10 membered cycloalkyl ring,         a fused substituted or unsubstituted saturated or partially         saturated 3-10 membered heterocycloalkyl ring, a fused         substituted or unsubstituted 5-10 membered aryl ring, or a fused         substituted or unsubstituted 5-10 membered heteroaryl ring, and         X¹ of Formula (VLII) is CR^(2e)R^(2f);     -   R^(A) of N—R^(A) is H, C₁-C₆alkyl, —C(═O)C₁-C₂alkyl, substituted         or unsubstituted aryl, or substituted or unsubstituted         heteroaryl;

R^(2a), R^(2b), R^(2c), R^(2d), R^(2e), and R^(2f) of CR^(2c)R^(2d), CR^(2a)R^(2b) and CR^(2e)R^(2f) are independently selected from H, substituted or unsubstituted C₁-C₆alkyl, substituted or unsubstituted C₁-C₆heteroalkyl, substituted or unsubstituted C₃-C₆cycloalkyl, substituted or unsubstituted C₂-C₅heterocycloalkyl, substituted or unsubstituted aryl, substituted or unsubstituted heteroaryl, —C₁-C₆alkyl-(substituted or unsubstituted C₃-C₆cycloalkyl), —C₁-C₆alkyl-(substituted or unsubstituted C₂-C₅heterocycloalkyl), —C₁-C₆alkyl-(substituted or unsubstituted aryl), —C₁-C₆alkyl-(substituted or unsubstituted heteroaryl) and —C(═O)R^(B);

-   -   R^(B) of —C(═O)R^(B) is substituted or unsubstituted C₁-C₆alkyl,         substituted or unsubstituted C₃-C₆cycloalkyl, substituted or         unsubstituted C₂-C₅heterocycloalkyl, substituted or         unsubstituted aryl, substituted or unsubstituted heteroaryl,         —C₁-C₆alkyl-(substituted or unsubstituted C₃-C₆cycloalkyl),         —C₁-C₆alkyl-(substituted or unsubstituted         C₂-C₅heterocycloalkyl), —C₁-C₆alkyl-(substituted or         unsubstituted aryl), —C₁-C₆alkyl-(substituted or unsubstituted         heteroaryl), or —NR^(D)R^(E);     -   R^(D) and R^(E) of NR^(D)R^(E) are independently selected from         H, substituted or unsubstituted C₁-C₆alkyl, substituted or         unsubstituted C₃-C₆cycloalkyl, substituted or unsubstituted         C₂-C₅heterocycloalkyl, substituted or unsubstituted aryl,         substituted or unsubstituted heteroaryl, —C₁-C₆alkyl-         (substituted or unsubstituted C₃-C₆cycloalkyl),         —C₁-C₆alkyl-(substituted or unsubstituted C₂-         C₅heterocycloalkyl), —C₁-C₆alkyl-(substituted or unsubstituted         aryl), or —C₁-C₆alkyl- (substituted or unsubstituted         heteroaryl);     -   m of Formula (XLIII) is 0, 1 or 2;     -   —U— of Formula (XLIII) is —NHC(═O)—, —C(═O)NH—, —NHS(═O)₂—,         —S(═O)₂NH—, —NHC(═O)NH—, —NH(C═O)O—, —O(C═O)NH—, or         —NHS(═O)₂NH—;     -   R³ of Formula (XLIII) is C₁-C₃alkyl, or C₁-C₃fluoroalkyl;     -   R⁴ of Formula (XLIII) is —NHR⁵, —N(R⁵)₂, —N+(R⁵)₃ or —OR⁵;     -   each R⁵ of —NHR⁵, —N(R⁵)₂, —N+(R⁵)₃ and —OR⁵ is independently         selected from H, C₁-C₃alkyl, C₁-C₃haloalkyl, C₁-C₃hetero alkyl         and —C₁-C₃alkyl-(C₃-C₅cycloalkyl); or:     -   R³ and R⁵ of Formula (XLIII) together with the atoms to which         they are attached form a substituted or unsubstituted 5-7         membered ring; or:     -   R³ of Formula (XLIII) is bonded to a nitrogen atom of U to form         a substituted or unsubstituted 5-7 membered ring;     -   R⁶ of Formula (XLIII) is selected from —NHC(═O)R⁷, —C(═O)NHR⁷,         —NHS(═O)2R⁷, —S(═O)₂NHR⁷; —NHC(═O)NHR⁷, —NHS(═O)₂NHR⁷,         —(C₁-C₃alkyl)-NHC(═O)12⁷, —(C₁-C₃alkyl)-C(═O)NHR⁷,         —(C₁-C₃alkyl)-NHS(═O)₂R⁷, —(C₁-C₃alkyl)-S(═O)₂NHR⁷;         —(C₁-C₃alkyl)-NHC(═O)NHR⁷, —(C₁-C₃alkyl)-NHS(═O)₂NHR⁷,         substituted or unsubstituted C₂-C₁₀heterocycloalkyl, or         substituted or unsubstituted heteroaryl;     -   each R⁷ of —NHC(═O)R⁷, —C(═O)NHR⁷, —NHS(═O)2R⁷, —S(═O)₂NHR⁷;         —NHC(═O)NHR⁷, —NHS(═O)₂NHR⁷, —(C₁-C₃alkyl)-NHC(═O)R⁷,         —(C₁-C₃alkyl)-C(═O)NHR⁷, —(C₁-C₃alkyl)-NHS(═O)₂R⁷,         —(C₁-C₃alkyl)-S(═O)2NHR⁷; —(C₁-C₃alkyl)-NHC(═O)NHR⁷,         —(C₁-C₃alkyl)-NHS(═O)2NHR⁷ is independently selected from         C₁-C₆alkyl, C₁-C₆haloalkyl, C₁-C₆heteroalkyl, a substituted or         unsubstituted C3-C10cycloalkyl, a substituted or unsubstituted         C₂-C₁₀heterocycloalkyl, a substituted or unsubstituted aryl, a         substituted or unsubstituted heteroaryl,         —C₁-C₆alkyl-(substituted or unsubstituted C₃-C₁₀cycloalkyl),         —C₁-C₆alkyl-(substituted or unsubstituted         C2-C10heterocycloalkyl, —C1-C6alkyl-(substituted or         unsubstituted aryl), —C₁-C₆alkyl-(substituted or unsubstituted         heteroaryl), —(CH2)p-CH(substituted or unsubstituted aryl)2,         —(CH₂)_(p)—CH(substituted or unsubstituted heteroaryl)2,         —(CH₂)p-CH(substituted or unsubstituted aryl)(substituted or         unsubstituted heteroaryl), -(substituted or unsubstituted         aryl)-(substituted or unsubstituted aryl), -(substituted or         unsubstituted aryl)-(substituted or unsubstituted heteroaryl),         -(substituted or unsubstituted heteroaryl)-(substituted or         unsubstituted aryl), or -(substituted or unsubstituted         heteroaryl)-(substituted or unsubstituted heteroaryl);     -   p of R⁷ is 0, 1 or 2;     -   R^(8a), R^(8b), R^(8c), and R^(8d) of C(R^(8a))(R^(8b)) and         C(R^(8c))(R^(8d)) are independently selected from H, C₁-C₆alkyl,         C₁-C₆fluoroalkyl, C₁-C₆ alkoxy, C₁-C₆heteroalkyl, and         substituted or unsubstituted aryl; or:     -   R^(8a) and R^(8d) are as defined above, and R^(8b) and R^(8c)         together form a bond; or:     -   R^(8a) and R^(8d) are as defined above, and R^(8b) and R^(8c)         together with the atoms to which they are attached form a         substituted or unsubstituted fused 5-7 membered saturated, or         partially saturated carbocyclic ring or heterocyclic ring         comprising 1-3 heteroatoms selected from S, O and N, a         substituted or unsubstituted fused 5-10 membered aryl ring, or a         substituted or unsubstituted fused 5-10 membered heteroaryl ring         comprising 1-3 heteroatoms selected from S, O and N; or:     -   R^(8c) and R^(8d) are as defined above, and R^(8a) and R^(8b)         together with the atoms to which they are attached form a         substituted or unsubstituted saturated, or partially saturated         3-7 membered spirocycle or heterospirocycle comprising 1-3         heteroatoms selected from S, O and N; or:     -   R^(8a) and R^(8b) are as defined above, and R^(8c) and R^(8d)         together with the atoms to which they are attached form a         substituted or unsubstituted saturated, or partially saturated         3-7 membered spirocycle or heterospirocycle comprising 1-3         heteroatoms selected from S, O and N;     -   where each substituted alkyl, heteroalkyl, fused ring,         spirocycle, heterospirocycle, cycloalkyl, heterocycloalkyl, aryl         or heteroaryl is substituted with 1-3 R⁹; and     -   each R⁹ of R^(8a), R^(8b), R^(8c) and R^(8d) is independently         selected from halogen, —OH, —SH, (C═O), CN, C₁-C₄alkyl,         C1-C4fluoroalkyl, C₁-C₄ alkoxy, C₁-C₄ fluoroalkoxy, —NH₂,         —NH(C₁-C₄alkyl), —NH(C₁-C₄alkyl)₂, —C(═O)OH, —C(═O)NH₂,         —C(═O)C₁-C₃alkyl, —S(═O)₂CH₃, —NH(C₁-C₄alkyl)-OH,         —NH(C₁-C₄alkyl)-O—(C₁-C₄alkyl), —O(C₁-C₄alkyl)-NH2;         —O(C₁-C₄alkyl)-NH—(C₁-C₄alkyl), and         —O(C₁-C₄alkyl)-N—(C₁-C₄alkyl)₂, or two R⁹ together with the         atoms to which they are attached form a methylene dioxy or         ethylene dioxy ring substituted or unsubstituted with halogen,         —OH, or C₁-C₃alkyl.

In any of the compounds described herein, the ILM can have the structure of Formula (XLIV), which is derived from the IAP ligands described in WO Pub. No. 2013/071039, or an unnatural mimetic thereof:

wherein:

-   -   W¹ of Formula (XLIV) is selected from O, S, N—R^(A), or         C(R^(8a))(R^(8b));     -   W² of Formula (XLIV) is selected from O, S, N—R^(A), or         C(R^(8c))(R^(8d)); provided that W¹ and W² are not both O, or         both S;     -   W³ of Formula (XLIV) is selected from O, S, N—R^(A), or         C(R^(8e))(R^(8f)), providing that the ring comprising W¹, W²,         and W³ does not comprise two adjacent oxygen atoms or sulfur         atoms;     -   R¹ of Formula (XLIV) is selected from H, C₁-C₆alkyl,         C₃-C₆cycloalkyl, —C₁-C₆alkyl-(substituted or unsubstituted         C₃-C₆cycloalkyl), substituted or unsubstituted aryl, substituted         or unsubstituted heteroaryl, —C₁-C₆alkyl-(substituted or         unsubstituted aryl), or —C₁-C₆alkyl-(substituted or         unsubstituted heteroaryl);     -   when X¹ of Formula (XLIV) is O, then X² of Formula (XLIV) is         selected from CR^(2c)R^(2d) and N—R^(A), and X³ of         Formula (XLIV) is CR^(2a)R^(2b); or:     -   when X¹ of Formula (XLIV) is CH₂, then X² of Formula (XLIV) is         selected from O, N—R^(A), S, S(O), or S(O)₂, and X³ of         Formula (XLIV) is CR^(2a)R^(2b); or:     -   when X¹ of Formula (XLIV) is CR^(2e)R^(2f) and X² of         Formula (XLIV) is CR^(2c)R^(2d), and R^(2e) and R^(2c) together         form a bond, and X³ of Formula (VLIV) is CR^(2a)R^(2b); or:     -   X¹ and X³ of Formula (XLIV) are both CH₂ and X² of         Formula (XLII) is C═O, C═C(R^(c))2, or C═NR^(C); where each         R^(C) is independently selected from H, —CN, —OH, alkoxy,         substituted or unsubstituted C₁-C₆alkyl, substituted or         unsubstituted C₃-C₆cycloalkyl, substituted or unsubstituted         C₂-C₅heterocycloalkyl, substituted or unsubstituted aryl,         substituted or unsubstituted heteroaryl,         —C₁-C₆alkyl-(substituted or unsubstituted C₃-C₆cycloalkyl),         —C₁-C₆alkyl-(substituted or unsubstituted         C₂-C₅heterocycloalkyl), —C₁-C₆alkyl-(substituted or         unsubstituted aryl), or —C₁-C₆alkyl- (substituted or         unsubstituted heteroaryl); or:     -   X¹ and X² of Formula (XLIV) are independently selected from C         and N, and are members of a fused substituted or unsubstituted         saturated or partially saturated 3-10 membered cycloalkyl ring,         a fused substituted or unsubstituted saturated or partially         saturated 3-10 membered heterocycloalkyl ring, a fused         substituted or unsubstituted 5-10 membered aryl ring, or a fused         substituted or unsubstituted 5-10 membered heteroaryl ring, and         X³ of Formula (XLIV) is CR^(2a)R^(2b); or:     -   X² and X³ of Formula (XLIV) are independently selected from C         and N, and are members of a fused substituted or unsubstituted         saturated or partially saturated 3-10 membered cycloalkyl ring,         a fused substituted or unsubstituted saturated or partially         saturated 3-10 membered heterocycloalkyl ring, a fused         substituted or unsubstituted 5-10 membered aryl ring, or a fused         substituted or unsubstituted 5-10 membered heteroaryl ring, and         X of Formula (VLIV) is CR^(2e)R^(2f);     -   R^(A) of N—R^(A) is selected from H, C₁-C₆alkyl,         —C(═O)C₁-C₂alkyl, substituted or unsubstituted aryl, or         substituted or unsubstituted heteroaryl;     -   R^(2a), R^(2b), R^(2c), R^(2d), R^(2e), and R^(2f) of         CR^(2c)R^(2d), CR^(2a)R^(2b) and CR^(2e)R^(2f) are independently         selected from H, substituted or unsubstituted C₁-C₆alkyl,         substituted or unsubstituted C₁-C₆heteroalkyl, substituted or         unsubstituted C₃-C₆cycloalkyl, substituted or unsubstituted         C₂-C₅heterocycloalkyl, substituted or unsubstituted aryl,         substituted or unsubstituted heteroaryl,         —C₁-C₆alkyl-(substituted or unsubstituted C₃-C₆cycloalkyl),         —C₁-C₆alkyl-(substituted or unsubstituted         C₂-C₅heterocycloalkyl), —C₁-C₆alkyl-(substituted or         unsubstituted aryl), —C₁-C₆alkyl-(substituted or unsubstituted         heteroaryl) and —C(═O)R^(B);     -   R^(B) of —C(═O)R^(B) is selected from substituted or         unsubstituted C₁-C₆alkyl, substituted or unsubstituted         C₃-C₆cycloalkyl, substituted or unsubstituted         C₂-C₅heterocycloalkyl, substituted or unsubstituted aryl,         substituted or unsubstituted heteroaryl,         —C₁-C₆alkyl-(substituted or unsubstituted C₃-C₆cycloalkyl),         —C₁-C₆alkyl-(substituted or unsubstituted         C₂-C₅heterocycloalkyl), —C₁-C₆alkyl- (substituted or         unsubstituted aryl), —C₁-C₆alkyl-(substituted or unsubstituted         heteroaryl), or —NR^(D)R^(E);     -   R^(D) and R^(E) of NR^(D)R^(E) are independently selected from         H, substituted or unsubstituted C₁-C₆alkyl, substituted or         unsubstituted C₃-C₆cycloalkyl, substituted or unsubstituted         C₂-C₅heterocycloalkyl, substituted or unsubstituted aryl,         substituted or unsubstituted heteroaryl, —C₁-C₆alkyl-         (substituted or unsubstituted C₃-C₆cycloalkyl),         —C₁-C₆alkyl-(substituted or unsubstituted         C₂-C₅heterocycloalkyl), —C₁-C₆alkyl-(substituted or         unsubstituted aryl), or —C₁-C₆alkyl- (substituted or         unsubstituted heteroaryl);     -   m of Formula (XLIV) is selected from 0, 1 or 2;     -   —U— of Formula (XLIV) is selected from —NHC(═O)—, —C(═O)NH—,         —NHS(═O)₂—, —S(═O)₂NH—, —NHC(═O)NH—, —NH(C═O)O—, —O(C═O)NH—, or         —NHS(═O)₂NH—;     -   R³ of Formula (XLIV) is selected from C₁-C₃alkyl, or         C₁-C₃fluoroalkyl;     -   R⁴ of Formula (XLIV) is selected from —NHR⁵, —N(R⁵)₂, —N+(R⁵)₃         or —OR⁵;     -   each R⁵ of —NHR⁵, —N(R⁵)₂, —N+(R⁵)₃ and —OR⁵ is independently         selected from H, C₁-C₃alkyl, C₁-C₃haloalkyl, C₁-C₃hetero alkyl         and —C₁-C₃alkyl-(C₃-C₅cycloalkyl); or:     -   R³ and R⁵ of Formula (XLIV) together with the atoms to which         they are attached form a substituted or unsubstituted 5-7         membered ring; or:     -   R³ of Formula (XLIII) is bonded to a nitrogen atom of U to form         a substituted or unsubstituted 5-7 membered ring;     -   R⁶ of Formula (XLIII) is selected from —NHC(═O)R⁷, —C(═O)NHR⁷,         —NHS(═O)2R⁷, —S(═O)₂NHR⁷; —NHC(═O)NHR⁷, —NHS(═O)₂NHR⁷,         —(C₁-C₃alkyl)-NHC(═O)R⁷, —(C₁-C₃alkyl)-C(═O)NHR⁷,         —(C₁-C₃alkyl)-NHS(═O)₂R⁷, —(C₁-C₃alkyl)-S(═O)₂NHR⁷;         —(C₁-C₃alkyl)-NHC(═O)NHR⁷, —(C₁-C₃alkyl)-NHS(═O)₂NHR⁷,         substituted or unsubstituted C₂-C₁₀heterocycloalkyl, or         substituted or unsubstituted heteroaryl;     -   each R⁷ of —NHC(═O)R⁷, —C(═O)NHR⁷, —NHS(═O)2R⁷, —S(═O)₂NHR⁷;         —NHC(═O)NHR⁷, —NHS(═O)₂NHR⁷, —(C₁-C₃alkyl)-NHC(═O)R⁷,         —(C₁-C₃alkyl)-C(═O)NHR⁷, —(C₁-C₃alkyl)-NHS(═O)2R⁷,         —(C₁-C₃alkyl)-S(═O)2NHR⁷; —(C₁-C₃alkyl)-NHC(═O)NHR⁷,         —(C₁-C₃alkyl)-NHS(═O)2NHR⁷ is independently selected from         C₁-C₆alkyl, C₁-C₆haloalkyl, C₁-C₆heteroalkyl, a substituted or         unsubstituted C3-C10cycloalkyl, a substituted or unsubstituted         C₂-C₁₀heterocycloalkyl, a substituted or unsubstituted aryl, a         substituted or unsubstituted heteroaryl,         —C₁-C₆alkyl-(substituted or unsubstituted C₃-C₁₀cycloalkyl),         —C₁-C₆alkyl-(substituted or unsubstituted         C2-C10heterocycloalkyl, —C1-C6alkyl-(substituted or         unsubstituted aryl), —C₁-C₆alkyl-(substituted or unsubstituted         heteroaryl), —(CH2)p-CH(substituted or unsubstituted aryl)2,         —(CH₂)_(p)—CH(substituted or unsubstituted heteroaryl)2,         —(CH₂)_(P)—CH(substituted or unsubstituted aryl)(substituted or         unsubstituted heteroaryl), -(substituted or unsubstituted         aryl)-(substituted or unsubstituted aryl), -(substituted or         unsubstituted aryl)-(substituted or unsubstituted heteroaryl),         -(substituted or unsubstituted heteroaryl)-(substituted or         unsubstituted aryl), or -(substituted or unsubstituted         heteroaryl)-(substituted or unsubstituted heteroaryl);     -   p of R⁷ is selected from 0, 1 or 2;     -   R^(8a), R^(8b), R^(8c), R^(8d), R^(8e), and R^(8f) of         C(R^(8a))(R^(8b)), C(R^(8c))(R^(8d)) and C(R^(8e))(R^(8f)) are         independently selected from H, C₁-C₆alkyl, C₁-C₆fluoroalkyl,         C₁-C₆ alkoxy, C₁-C₆heteroalkyl, and substituted or unsubstituted         aryl; or:     -   R^(8a), R^(8d), R^(8e), and R^(8f) of C(R^(8a))(R_(8b)),         C(R^(8c))(R^(8d)) and C(R^(8e))(R^(8f)) are as defined above,         and R^(8b) and R^(8c) together form a bond; or:

R^(8a), R^(8b), R^(8d), and R^(8f) of C(R^(8a))(R^(8b)), C(R^(8c)), C(R^(8d)) and C(R^(8e))(R^(8f)) are as defined above, and R^(8c) and R^(8e) together form a bond; or:

R^(8a), R^(8d), R^(8e), and R^(8f) of C(R^(8a))(R^(8b)), C(R^(8c))(R^(8d)) and C(R^(8e))(R^(8f)) are as defined above, and R^(8b) and R^(8c) together with the atoms to which they are attached form a substituted or unsubstituted fused 5-7 membered saturated, or partially saturated carbocyclic ring or heterocyclic ring comprising 1-3 heteroatoms selected from S, O and N, a substituted or unsubstituted fused 5-10 membered aryl ring, or a substituted or unsubstituted fused 5-10 membered heteroaryl ring comprising 1-3 heteroatoms selected from S, O and N; or:

-   -   R^(8a), R^(8b), R^(8d), and R^(8f) of C(R^(8a))(R^(8b)),         C(R^(8c))R^(8d)), and C(R^(8e))(R^(8f)) are as defined above,         and R^(8c) and R^(8e) together with the atoms to which they are         attached form a substituted or unsubstituted fused 5-7 membered         saturated, or partially saturated carbocyclic ring or         heterocyclic ring comprising 1-3 heteroatoms selected from S, O         and N, a substituted or unsubstituted fused 5-10 membered aryl         ring, or a substituted or unsubstituted fused 5-10 membered         heteroaryl ring comprising 1-3 heteroatoms selected from S, O         and N; or:     -   R^(8c), R^(8d), R^(8e), and R^(8f) of C(R^(8c))(R^(8d)) and         C(R^(8e))(R^(8f)) are as defined above, and R^(8a) and R^(8b)         together with the atoms to which they are attached form a         substituted or unsubstituted saturated, or partially saturated         3-7 membered spirocycle or heterospirocycle comprising 1-3         heteroatoms selected from S, O and N; or:     -   R^(8a), R^(8b), R^(8e), and R^(8f) of C(R^(8a))(R^(8b)) and         C(R^(8e))(R^(8f)) are as defined above, and R^(8e) and R^(8d)         together with the atoms to which they are attached form a         substituted or unsubstituted saturated, or partially saturated         3-7 membered spirocycle or heterospirocycle comprising 1-3         heteroatoms selected from S, O and N; or:     -   R^(8a), R^(8b), R^(8e), and R^(8d) of C(R^(8a))(R^(8b)) and         C(R^(8c))(R^(8d)) are as defined above, and R^(8e) and R^(8f)         together with the atoms to which they are attached form a         substituted or unsubstituted saturated, or partially saturated         3-7 membered spirocycle or heterospirocycle comprising 1-3         heteroatoms selected from S, O and N; or:     -   where each substituted alkyl, heteroalkyl, fused ring,         spirocycle, heterospirocycle, cycloalkyl, heterocycloalkyl, aryl         or heteroaryl is substituted with 1-3 R⁹; and     -   each R⁹ of R^(8a), R^(8b), R^(8e), R^(8d), R^(8e), and R^(8f) is         independently selected from halogen, —OH, —SH, (C═O), CN,         C₁-C₄alkyl, C1-C4fluoroalkyl, C₁-C₄ alkoxy, C₁-C₄ fluoroalkoxy,         —NH₂, —NH(C₁-C₄alkyl), —NH(C₁-C₄alkyl)₂, —C(═O)OH, —C(═O)NH₂,         —C(═O)C₁-C₃alkyl, —S(═O)₂CH₃, —NH(C₁-C₄alkyl)-OH,         —NH(C₁-C₄alkyl)-O—(C₁-C₄alkyl), —O(C₁-C₄alkyl)-NH2;         —O(C₁-C₄alkyl)-NH—(C₁-C₄alkyl), and         —O(C₁-C₄alkyl)-N—(C₁-C₄alkyl)₂, or two R⁹ together with the         atoms to which they are attached form a methylene dioxy or         ethylene dioxy ring substituted or unsubstituted with halogen,         —OH, or C₁-C₃alkyl.

In any of the compounds described herein, the ILM can have the structure of Formula (XLV), (XLVI) or (XLVII), which is derived from the IAP ligands described in Vamos, M., et al., Expedient synthesis of highly potent antagonists of inhibitor of apoptosis proteins (IAPs) with unique selectivity for ML-IAP, ACS Chem. Biol., 8(4), 725-32 (2013), or an unnatural mimetic thereof:

wherein:

R², R³ and R⁴ of Formula (XLV) are independently selected from H or ME;

-   -   X of Formula (XLV) is independently selected from O or S; and     -   R¹ of Formula (XLV) is selected from:

In a particular embodiment, the ILM has a structure according to Formula (XLVIII):

wherein R³ and R⁴ of Formula (XLVIII) are independently selected from H or ME;

is a 5-member heterocycle selected from:

In a particular embodiment, the

of Formula XLVIII) is

In a particular embodiment, the ILM has a structure and attached to a linker group L as shown below:

In a particular embodiment, the ILM has a structure according to Formula (XLIX), (L), or (LI):

wherein: R³ of Formula (XLIX), (L) or (LI) are independently selected from H or ME;

is a 5-member heterocycle selected from:

and L of Formula (XLIX), (L) or (LI) is selected from:

In a particular embodiment, L of Formula (XLIX), (L), or (LI)

In a particular embodiment, the ILM has a structure according to Formula (LII):

In a particular embodiment, the ILM according to Formula (LII) is chemically linked to the linker group L in the area denoted with

and as shown below:

In any of the compounds described herein, the ILM can have the structure of Formula (LIII) or (LIV), which is based on the IAP ligands described in Hennessy, E J, et al., Discovery of aminopiperidine-based Smac mimetics as IAP antagonists, Bioorg. Med. Chem. Lett., 22(4), 1960-4 (2012), or an unnatural mimetic thereof:

wherein: R¹ of Formulas (LIII) and (LIV) is selected from:

R² of Formulas (LIII) and (LIV) is selected from H or Me; R³ of Formulas (LIII) and (LIV) is selected from:

X of is selected from H, halogen, methyl, methoxy, hydroxy, nitro or trifluoromethyl.

In any of the compounds described herein, the ILM can have the structure of and be chemically linked to the linker as shown in Formula (LV) or (LVI), or an unnatural mimetic thereof:

In any of the compounds described herein, the ILM can have the structure of Formula (LVII), which is based on the IAP ligands described in Cohen, F, et al., Orally bioavailable antagonists of inhibitor of apoptosis proteins based on an azabicyclooctane scaffold, J. Med. Chem., 52(6), 1723-30 (2009), or an unnatural mimetic thereof:

wherein: R1 of Formulas (LVII) is selected from:

X of

is selected from H, fluoro, methyl or methoxy.

In a particular embodiment, the ILM is represented by the following structure:

In a particular embodiment, the ILM is selected from the group consisting of, and which the chemical link between the ILM and linker group L is shown:

In any of the compounds described herein, the ILM is selected from the group consisting of the structures below, which are based on the IAP ligands described in Asano, M, et al., Design, sterioselective synthesis, and biological evaluation of novel tri-cyclic compounds as inhibitor of apoptosis proteins (IAP) antagonists, Bioorg. Med. Chem., 21(18): 5725-37 (2013), or an unnatural mimetic thereof:

In a particular embodiment, the ILM is selected from the group consisting of, and which the chemical link between the ILM and linker group L is shown:

In any of the compounds described herein, the ILM can have the structure of Formula (LVIII), which is based on the IAP ligands described in Asano, M, et al., Design, stereoselective synthesis, and biological evaluation of novel tri-cyclic compounds as inhibitor of apoptosis proteins (IAP) antagonists, Bioorg. Med. Chem., 21(18): 5725-37 (2013), or an unnatural mimetic thereof:

wherein X of Formula (LVIII) is one or two substituents independently selected from H, halogen or cyano.

In any of the compounds described herein, the ILM can have the structure of and be chemically linked to the linker group L as shown in Formula (LIX) or (LX), or an unnatural mimetic thereof:

wherein X of Formula (LIX) and (LX) is one or two substituents independently selected from H, halogen or cyano, and; and L of Formulas (LIX) and (LX) is a linker group as described herein.

In any of the compounds described herein, the ILM can have the structure of Formula (LXI), which is based on the IAP ligands described in Ardecky, R J, et al., Design, synthesis and evaluation of inhibitor of apoptosis (IAP) antagonists that are highly selective for the BIR2 domain of XIAP, Bioorg. Med. Chem., 23(14): 4253-7 (2013), or an unnatural mimetic thereof:

wherein:

of Formula (LXI) is a natural or unnatural amino acid; and R² of Formula (LXI) is selected from:

In any of the compounds described herein, the ILM can have the structure of and be chemically linked to the linker group L as shown in Formula (LXII) or (LLXIII), or an unnatural mimetic thereof:

of Formula (LXI) is a natural or unnatural amino acid; and L of Formula (LXI) is a linker group as described herein.

In any of the compounds described herein, the ILM can have the structure selected from the group consisting of, which is based on the IAP ligands described in Wang, J, et al., Discovery of novel second mitochondrial-derived activator of caspase mimetics as selective inhibitor or apoptosis protein inhibitors, J. Pharmacol. Exp. Ther., 349(2): 319-29 (2014), or an unnatural mimetic thereof:

In any of the compounds described herein, the ILM has a structure according to Formula (LXIX), which is based on the IAP ligands described in Hird, A W, et al., Structure-based design and synthesis of tricyclic IAP (Inhibitors of Apoptosis Proteins) inhibitors, Bioorg. Med. Chem. Lett., 24(7): 1820-4 (2014), or an unnatural mimetic thereof:

wherein R of Formula LIX is selected from the group consisting of:

R1 of

is selected from H or Me;

R2 of

is selected from alkyl or cycloalkyl;

X of

is 1-2 substitutents independently selected from halogen, hydroxy, methoxy, nitro and trifluoromethyl

Z of

is O or NH; HET of

is mono- or fused bicyclic heteroaryl; and - - - of Formula (LIX) is an optional double bond.

In a particular embodiment, the ILM of the compound has a chemical structure as represented by:

In a particular embodiment, the ILM of the compound has a chemical structure selected from the group consisting of:

The term “independently” is used herein to indicate that the variable, which is independently applied, varies independently from application to application.

The term “alkyl” shall mean within its context a linear, branch-chained or cyclic fully saturated hydrocarbon radical or alkyl group, preferably a C₁-C₁₀, more preferably a C₁-C₆, alternatively a C₁-C₃ alkyl group, which may be optionally substituted. Examples of alkyl groups are methyl, ethyl, n-butyl, sec-butyl, n-hexyl, n-heptyl, n-octyl, n-nonyl, n-decyl, isopropyl, 2-methylpropyl, cyclopropyl, cyclopropylmethyl, cyclobutyl, cyclopentyl, cyclopen-tylethyl, cyclohexylethyl and cyclohexyl, among others. In certain embodiments, the alkyl group is end-capped with a halogen group (At, Br, Cl, F, or I). In certain preferred embodiments, compounds according to the present disclosure which may be used to covalently bind to dehalogenase enzymes. These compounds generally contain a side chain (often linked through a polyethylene glycol group) which terminates in an alkyl group which has a halogen substituent (often chlorine or bromine) on its distal end which results in covalent binding of the compound containing such a moiety to the protein.

The term “Alkenyl” refers to linear, branch-chained or cyclic C₂-C₁₆ (preferably C₂-C₁₀ or C₂-C₆) hydrocarbon radicals containing at least one C═C bond.

The term “Alkynyl” refers to linear, branch-chained or cyclic hydrocarbon radicals (preferably C₂-C₁₀ or C₂-C₆)containing at least one CC bond.

The term “alkylene” when used, refers to a —(CH₂)_(n)— group (n is an integer generally from 0-6), which may be optionally substituted. When substituted, the alkylene group preferably is substituted on one or more of the methylene groups with a C₁-C₆ alkyl group (including a cyclopropyl group or a t-butyl group), but may also be substituted with one or more halo groups, preferably from 1 to 3 halo groups or one or two hydroxyl groups, O—(C₁-C₆ alkyl) groups or amino acid sidechains as otherwise disclosed herein. In certain embodiments, an alkylene group may be substituted with a urethane or alkoxy group (or other group) which is further substituted with a polyethylene glycol chain (of from 1 to 10, preferably 1 to 6, often 1 to 4 ethylene glycol units) to which is substituted (preferably, but not exclusively on the distal end of the polyethylene glycol chain) an alkyl chain substituted with a single halogen group, preferably a chlorine group. In still other embodiments, the alkylene (often, a methylene) group, may be substituted with an amino acid sidechain group such as a sidechain group of a natural or unnatural amino acid, for example, alanine, β-alanine, arginine, asparagine, aspartic acid, cysteine, cystine, glutamic acid, glutamine, glycine, phenylalanine, histidine, isoleucine, lysine, leucine, methionine, proline, serine, threonine, valine, tryptophan or tyrosine.

The term “unsubstituted” shall mean substituted only with hydrogen atoms. A range of carbon atoms which includes C₀ means that carbon is absent and is replaced with H. Thus, a range of carbon atoms which is C₀-C₆ includes carbons atoms of 1, 2, 3, 4, 5 and 6 and for C₀, H stands in place of carbon.

The term “substituted” or “optionally substituted” shall mean independently (i.e., where more than substituent occurs, each substituent is independent of another substituent) one or more substituents (independently up to five substitutents, preferably up to three substituents, often 1 or 2 substituents on a moiety in a compound according to the present disclosure and may include substituents which themselves may be further substituted) at a carbon (or nitrogen) position anywhere on a molecule within context, and includes as substituents hydroxyl, thiol, carboxyl, cyano (C≡N), nitro (NO₂), halogen (preferably, 1, 2 or 3 halogens, especially on an alkyl, especially a methyl group such as a trifluoromethyl), an alkyl group (preferably, C₁-C₁₀, more preferably, C₁-C₆), aryl (especially phenyl and substituted phenyl for example benzyl or benzoyl), alkoxy group (preferably, C₁-C₆ alkyl or aryl, including phenyl and substituted phenyl), thioether (C₁-C₆ alkyl or aryl), acyl (preferably, C₁-C₆ acyl), ester or thioester (preferably, C₁-C₆ alkyl or aryl) including alkylene ester (such that attachment is on the alkylene group, rather than at the ester function which is preferably substituted with a C₁-C₆ alkyl or aryl group), preferably, C₁-C₆ alkyl or aryl, halogen (preferably, F or Cl), amine (including a five- or six-membered cyclic alkylene amine, further including a C₁-C₆ alkyl amine or a C₁-C₆ dialkyl amine which alkyl groups may be substituted with one or two hydroxyl groups) or an optionally substituted —N(C₀-C₆ alkyl)C(O)(O—C₁-C₆ alkyl) group (which may be optionally substituted with a polyethylene glycol chain to which is further bound an alkyl group containing a single halogen, preferably chlorine substituent), hydrazine, amido, which is preferably substituted with one or two C₁-C₆ alkyl groups (including a carboxamide which is optionally substituted with one or two C₁-C₆ alkyl groups), alkanol (preferably, C₁-C₆ alkyl or aryl), or alkanoic acid (preferably, C₁-C₆ alkyl or aryl). Substituents according to the present disclosure may include, for example —SiR₁R₂R₃ groups where each of R₁ and R₂ is as otherwise described herein and R₃ is H or a C₁-C₆ alkyl group, preferably R₁, R₂, R₃ in this context is a C₁-C₃ alkyl group (including an isopropyl or t-butyl group). Each of the above-described groups may be linked directly to the substituted moiety or alternatively, the substituent may be linked to the substituted moiety (preferably in the case of an aryl or heteraryl moiety) through an optionally substituted —(CH₂)_(m)- or alternatively an optionally substituted —(OCH₂)_(m)—, —(OCH₂CH₂)_(m)— or —(CH₂CH₂O)_(m)— group, which may be substituted with any one or more of the above-described substituents. Alkylene groups —(CH₂)_(m)— or —(CH₂)_(n)— groups or other chains such as ethylene glycol chains, as identified above, may be substituted anywhere on the chain. Preferred substitutents on alkylene groups include halogen or C₁-C₆ (preferably C₁-C₃) alkyl groups, which may be optionally substituted with one or two hydroxyl groups, one or two ether groups (O—C₁-C₆ groups), up to three halo groups (preferably F), or a side chain of an amino acid as otherwise described herein and optionally substituted amide (preferably carboxamide substituted as described above) or urethane groups (often with one or two C₀-C₆ alkyl substitutents, which group(s) may be further substituted). In certain embodiments, the alkylene group (often a single methylene group) is substituted with one or two optionally substituted C₁-C₆ alkyl groups, preferably C₁-C₄ alkyl group, most often methyl or O-methyl groups or a sidechain of an amino acid as otherwise described herein. In the present disclosure, a moiety in a molecule may be optionally substituted with up to five substituents, preferably up to three substituents. Most often, in the present disclosure moieties which are substituted are substituted with one or two substituents.

The term “substituted” (each substituent being independent of any other substituent) shall also mean within its context of use C₁-C₆ alkyl, C₁-C₆ alkoxy, halogen, amido, carboxamido, sulfone, including sulfonamide, keto, carboxy, C₁-C₆ ester (oxyester or carbonylester), C₁-C₆ keto, urethane —O—C(O)—NR₁R₂ or —N(R₁)—C(O)—O—R₁, nitro, cyano and amine (especially including a C₁-C₆ alkylene-NR₁R₂, a mono- or di- C₁-C₆ alkyl substituted amines which may be optionally substituted with one or two hydroxyl groups). Each of these groups contain unless otherwise indicated, within context, between 1 and 6 carbon atoms. In certain embodiments, preferred substituents will include for example, —NH—, —NHC(O)—, —O—, ═O, —(CH₂)_(m)— (here, m and n are in context, 1, 2, 3, 4, 5 or 6), —S—, —S(O)—, SO₂— or —NH—C(O)—NH—, —(CH₂)_(n)OH, —(CH₂)_(n)SH, —(CH₂)_(n)COOH, C₁-C₆ alkyl, —(CH₂)_(n)O—(C₁-C₆ alkyl), —(CH₂)_(n)C(O)—(C₁-C₆ alkyl), —(CH₂)_(n)OC(O)—(C₁-C₆ alkyl), —(CH₂)_(n)C(O)O—(C₁-C₆ alkyl), —(CH₂)_(n)NHC(O)—R₁, —(CH₂)_(n)C(O)—NR₁R₂, —(OCH₂)_(n)OH, —(CH₂O)_(n)COOH, C₁-C₆ alkyl, —(OCH₂)_(n)O—(C₁-C₆ alkyl), —(CH₂O)_(n)C(O)—(C₁-C₆ alkyl), —(OCH₂)_(n)NHC(O)—R₁, —(CH₂O)_(n)C(O)—NR₁R₂, —S(O)₂—R_(S), —S(O)—R_(S) (R_(S) is C₁-C₆ alkyl or a —(CH₂)_(m)—NR₁R₂ group), NO₂, CN or halogen (F, Cl, Br, I, preferably F or Cl), depending on the context of the use of the substituent. R₁ and R₂ are each, within context, H or a C₁-C₆ alkyl group (which may be optionally substituted with one or two hydroxyl groups or up to three halogen groups, preferably fluorine). The term “substituted” shall also mean, within the chemical context of the compound defined and substituent used, an optionally substituted aryl or heteroaryl group or an optionally substituted heterocyclic group as otherwise described herein. Alkylene groups may also be substituted as otherwise disclosed herein, preferably with optionally substituted C₁-C₆ alkyl groups (methyl, ethyl or hydroxymethyl or hydroxyethyl is preferred, thus providing a chiral center), a sidechain of an amino acid group as otherwise described herein, an amido group as described hereinabove, or a urethane group O—C(O)—NR₁R² group where R₁ and R₂ are as otherwise described herein, although numerous other groups may also be used as substituents. Various optionally substituted moieties may be substituted with 3 or more substituents, preferably no more than 3 substituents and preferably with 1 or 2 substituents. It is noted that in instances where, in a compound at a particular position of the molecule substitution is required (principally, because of valency), but no substitution is indicated, then that substituent is construed or understood to be H, unless the context of the substitution suggests otherwise.

The term “dihydrosulfonopyranyl” refers to the following radical:

The term “aryl” or “aromatic”, in context, refers to a substituted (as otherwise described herein) or unsubstituted monovalent aromatic radical having a single ring (e.g., benzene, phenyl, benzyl) or condensed rings (e.g., naphthyl, anthracenyl, phenanthrenyl, etc.) and can be bound to the compound according to the present disclosure at any available stable position on the ring(s) or as otherwise indicated in the chemical structure presented. Other examples of aryl groups, in context, may include heterocyclic aromatic ring systems, “heteroaryl” groups having one or more nitrogen, oxygen, or sulfur atoms in the ring (moncyclic) such as imidazole, furyl, pyrrole, furanyl, thiene, thiazole, pyridine, pyrimidine, pyrazine, triazole, oxazole or fused ring systems such as indole, quinoline, indolizine, azaindolizine, benzofurazan, etc., among others, which may be optionally substituted as described above. Among the heteroaryl groups which may be mentioned include nitrogen-containing heteroaryl groups such as pyrrole, pyridine, pyridone, pyridazine, pyrimidine, pyrazine, pyrazole, imidazole, triazole, triazine, tetrazole, indole, isoindole, indolizine, azaindolizine, purine, indazole, quinoline, dihydroquinoline, tetrahydroquinoline, isoquinoline, dihydroisoquinoline, tetrahydroisoquinoline, quinolizine, phthalazine, naphthyridine, quinoxaline, quinazoline, cinnoline, pteridine, imidazopyridine, imidazotriazine, pyrazinopyridazine, acridine, phenanthridine, carbazole, carbazoline, pyrimidine, phenanthroline, phenacene, oxadiazole, benzimidazole, pyrrolopyridine, pyrrolopyrimidine and pyridopyrimidine; sulfur-containing aromatic heterocycles such as thiophene and benzothiophene; oxygen-containing aromatic heterocycles such as furan, pyran, cyclopentapyran, benzofuran and isobenzofuran; and aromatic heterocycles comprising 2 or more hetero atoms selected from among nitrogen, sulfur and oxygen, such as thiazole, thiadizole, isothiazole, benzoxazole, benzothiazole, benzothiadiazole, phenothiazine, isoxazole, furazan, phenoxazine, pyrazoloxazole, imidazothiazole, thienofuran, furopyrrole, pyridoxazine, furopyridine, furopyrimidine, thienopyrimidine and oxazole, among others, all of which may be optionally substituted.

The term “heteroaromatic” or “heteroaryl” refers to 5- to 7-membered mono- or 8- to 10-membered bicyclic aromatic ring systems, any ring of which may consist of from one to four heteroatoms selected from N, O, or S where the nitrogen and sulfur atoms can exist in any allowed oxidation state. Examples include benzimidazolyl, benzothiazolyl, benzothienyl, benzoxazolyl, furyl, imidazolyl, isothiazolyl, isoxazolyl, oxazolyl, pyrazinyl, pyrazolyl, pyridyl, pyrimidinyl, pyrrolyl, quinolinyl, thiazolyl and thienyl.

The term “substituted aryl” refers to an aromatic carbocyclic group comprised of at least one aromatic ring or of multiple condensed rings at least one of which being aromatic, wherein the ring(s) are substituted with one or more substituents. For example, an aryl group can comprise a substituent(s) selected from: —(CH₂)_(n)OH, —(CH₂)_(n)—O—(C₁-C₆)alkyl, —(CH₂)_(n)—O—(CH₂)_(n)—(C₁-C₆)alkyl, —(CH₂)_(n)—C(O)(C₀-C₆) alkyl, —(CH₂)_(n)—C(O)O(C₀-C₆)alkyl, —(CH₂)_(n)—OC(O)(C₀-C₆)alkyl, amine, mono- or di-(C₁-C₆ alkyl) amine wherein the alkyl group on the amine is optionally substituted with 1 or 2 hydroxyl groups or up to three halo (preferably F, CO groups, OH, COOH, C₁-C₆ alkyl, preferably CH₃, CF₃, OMe, OCF₃, NO₂, or CN group (each of which may be substituted in ortho-, meta- and/or para- positions of the phenyl ring, preferably para-), an optionally substituted phenyl group (the phenyl group itself is preferably substituted with a linker group attached to a PTM group, including a ULM group), and/or at least one of F, Cl, OH, COOH, CH₃, CF₃, OMe, OCF₃, NO₂, or CN group (in ortho-, meta- and/or para- positions of the phenyl ring, preferably para-), a naphthyl group, which may be optionally substituted, an optionally substituted heteroaryl, preferably an optionally substituted isoxazole including a methylsubstituted isoxazole, an optionally substituted oxazole including a methylsubstituted oxazole, an optionally substituted thiazole including a methyl substituted thiazole, an optionally substituted isothiazole including a methyl substituted isothiazole, an optionally substituted pyrrole including a methylsubstituted pyrrole, an optionally substituted imidazole including a methylimidazole, an optionally substituted benzimidazole or methoxybenzylimidazole, an optionally substituted oximidazole or methyloximidazole, an optionally substituted diazole group, including a methyldiazole group, an optionally substituted triazole group, including a methylsubstituted triazole group, an optionally substituted pyridine group, including a halo-(preferably, F) or methylsubstitutedpyridine group or an oxapyridine group (where the pyridine group is linked to the phenyl group by an oxygen), an optionally substituted furan, an optionally substituted benzofuran, an optionally substituted dihydrobenzofuran, an optionally substituted indole, indolizine or azaindolizine (2, 3, or 4-azaindolizine), an optionally substituted quinoline, and combinations thereof.

“Carboxyl” denotes the group —C(O)OR, where R is hydrogen, alkyl, substituted alkyl, aryl, substituted aryl, heteroaryl or substituted heteroaryl, whereas these generic substituents have meanings which are identical with definitions of the corresponding groups defined herein.

The term “heteroaryl” or “hetaryl” can mean but is in no way limited to an optionally substituted quinoline (which may be attached to the pharmacophore or substituted on any carbon atom within the quinoline ring), an optionally substituted indole (including dihydroindole), an optionally substituted indolizine, an optionally substituted azaindolizine (2, 3 or 4-azaindolizine) an optionally substituted benzimidazole, benzodiazole, benzoxofuran, an optionally substituted imidazole, an optionally substituted isoxazole, an optionally substituted oxazole (preferably methyl substituted), an optionally substituted diazole, an optionally substituted triazole, a tetrazole, an optionally substituted benzofuran, an optionally substituted thiophene, an optionally substituted thiazole (preferably methyl and/or thiol substituted), an optionally substituted isothiazole, an optionally substituted triazole (preferably a 1,2,3-triazole substituted with a methyl group, a triisopropylsilyl group, an optionally substituted —(CH₂)_(m)—O—C₁-C₆ alkyl group or an optionally substituted —(CH₂)_(m)—C(O)—O—C₁-C₆ alkyl group), an optionally substituted pyridine (2-, 3, or 4-pyridine) or a group according to the chemical structure:

wherein

-   -   S^(c) is CHR^(SS), NR^(URE); or O;     -   R^(HET) is H, CN, NO₂, halo (preferably Cl or F), optionally         substituted C₁-C₆ alkyl (preferably substituted with one or two         hydroxyl groups or up to three halo groups (e.g. CF₃),         optionally substituted O(C₁-C₆ alkyl) (preferably substituted         with one or two hydroxyl groups or up to three halo groups) or         an optionally substituted acetylenic group —C≡C—R_(a) where         R_(a) is H or a C₁-C₆ alkyl group (preferably C₁-C₃ alkyl);     -   R^(SS) is H, CN, NO₂, halo (preferably F or Cl), optionally         substituted C₁-C₆ alkyl (preferably substituted with one or two         hydroxyl groups or up to three halo groups), optionally         substituted O—(C₁-C₆ alkyl) (preferably substituted with one or         two hydroxyl groups or up to three halo groups) or an optionally         substituted —C(O)(C₁-C₆ alkyl) (preferably substituted with one         or two hydroxyl groups or up to three halo groups);     -   R^(URE) is H, a C₁-C₆ alkyl (preferably H or C₁-C₃ alkyl) or a         —C(O)(C₁-C₆ alkyl), each of which groups is optionally         substituted with one or two hydroxyl groups or up to three         halogen, preferably fluorine groups, or an optionally         substituted heterocycle, for example piperidine, morpholine,         pyrrolidine, tetrahydrofuran, tetrahydrothiophene, piperidine,         piperazine, each of which is optionally substituted, and     -   Y^(C) is N or C—R^(YC), where R^(YC) is H, OH, CN, NO₂, halo         (preferably Cl or F), optionally substituted C₁-C₆ alkyl         (preferably substituted with one or two hydroxyl groups or up to         three halo groups (e.g. CF₃), optionally substituted O(C₁-C₆         alkyl) (preferably substituted with one or two hydroxyl groups         or up to three halo groups) or an optionally substituted         acetylenic group —C≡C—R_(a) where R_(a) is H or a C₁-C₆ alkyl         group (preferably C₁-C₃ alkyl).

The terms “aralkyl” and “heteroarylalkyl” refer to groups that comprise both aryl or, respectively, heteroaryl as well as alkyl and/or heteroalkyl and/or carbocyclic and/or heterocycloalkyl ring systems according to the above definitions.

The term “arylalkyl” as used herein refers to an aryl group as defined above appended to an alkyl group defined above. The arylalkyl group is attached to the parent moiety through an alkyl group wherein the alkyl group is one to six carbon atoms. The aryl group in the arylalkyl group may be substituted as defined above.

The term “Heterocycle” refers to a cyclic group which contains at least one heteroatom, e.g., N, O or S, and may be aromatic (heteroaryl) or non-aromatic. Thus, the heteroaryl moieties are subsumed under the definition of heterocycle, depending on the context of its use. Exemplary heteroaryl groups are described hereinabove.

Exemplary heterocyclics include: azetidinyl, benzimidazolyl, 1,4- benzodioxanyl, 1,3-benzodioxolyl, benzoxazolyl, benzothiazolyl, benzothienyl, dihydroimidazolyl, dihydropyranyl, dihydrofuranyl, dioxanyl, dioxolanyl, ethyleneurea, 1,3-dioxolane, 1,3-dioxane, 1,4-dioxane, furyl, homopiperidinyl, imidazolyl, imidazolinyl, imidazolidinyl, indolinyl, indolyl, isoquinolinyl, isothiazolidinyl, isothiazolyl, isoxazolidinyl, isoxazolyl, morpholinyl, naphthyridinyl, oxazolidinyl, oxazolyl, pyridone, 2-pyrrolidone, pyridine, piperazinyl, N-methylpiperazinyl, piperidinyl, phthalimide, succinimide, pyrazinyl, pyrazolinyl, pyridyl, pyrimidinyl, pyrrolidinyl, pyrrolinyl, pyrrolyl, quinolinyl, tetrahydrofuranyl, tetrahydropyranyl, tetrahydroquinoline, thiazolidinyl, thiazolyl, thienyl, tetrahydrothiophene, oxane, oxetanyl, oxathiolanyl, thiane among others.

Heterocyclic groups can be optionally substituted with a member selected from the group consisting of alkoxy, substituted alkoxy, cycloalkyl, substituted cycloalkyl, cycloalkenyl, substituted cycloalkenyl, acyl, acylamino, acyloxy, amino, substituted amino, aminoacyl, aminoacyloxy, oxyaminoacyl, azido, cyano, halogen, hydroxyl, keto, thioketo, carboxy, carboxyalkyl, thioaryloxy, thioheteroaryloxy, thioheterocyclooxy, thiol, thioalkoxy, substituted thioalkoxy, aryl, aryloxy, heteroaryl, heteroaryloxy, heterocyclic, heterocyclooxy, hydroxyamino, alkoxyamino, nitro, —SO-alkyl, —SO-substituted alkyl, —SOaryl, —SO— heteroaryl, —SO2-alkyl, —SO2-substituted alkyl, —SO2-aryl, oxo (═O), and —SO2-heteroaryl. Such heterocyclic groups can have a single ring or multiple condensed rings. Examples of nitrogen heterocycles and heteroaryls include, but are not limited to, pyrrole, imidazole, pyrazole, pyridine, pyrazine, pyrimidine, pyridazine, indolizine, isoindole, indole, indazole, purine, quinolizine, isoquinoline, quinoline, phthalazine, naphthylpyridine, quinoxaline, quinazoline, cinnoline, pteridine, carbazole, carboline, phenanthridine, acridine, phenanthroline, isothiazole, phenazine, isoxazole, phenoxazine, phenothiazine, imidazolidine, imidazoline, piperidine, piperazine, indoline, morpholino, piperidinyl, tetrahydrofuranyl, and the like as well as N-alkoxy-nitrogen containing heterocycles. The term-heterocyclic- also includes bicyclic groups in which any of the heterocyclic rings is fused to a benzene ring or a cyclohexane ring or another heterocyclic ring (for example, indolyl, quinolyl, isoquinolyl, tetrahydroquinolyl, and the like).

The term “carboxyalkyl” refers to an alkylated carboxy group such as tert-butoxycarbonyl, in which the point of attachment to the rest of the molecule is the carbonyl group.

The term “cyclic heterodionyl” refers to a heterocyclic compound bearing two carbonyl substituents. Examples include thiazolidine dionyls, oxazolidine dionyls and pyrrolidine dionyls.

The term “cycloalkyl” can mean but is in no way limited to univalent groups derived from monocyclic or polycyclic alkyl groups or cycloalkanes, as defined herein, e.g., saturated monocyclic hydrocarbon groups having from three to twenty carbon atoms in the ring, including, but not limited to, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl and the like. The term “substituted cycloalkyl” can mean but is in no way limited to a monocyclic or polycyclic alkyl group and being substituted by one or more substituents, for example, amino, halogen, alkyl, substituted alkyl, carbyloxy, carbylmercapto, aryl, nitro, mercapto or sulfo, whereas these generic substituent groups have meanings which are identical with definitions of the corresponding groups as defined in this legend.

“Heterocycloalkyl” refers to a monocyclic or polycyclic alkyl group in which at least one ring carbon atom of its cyclic structure being replaced with a heteroatom selected from the group consisting of N, O, S or P. “Substituted heterocycloalkyl” refers to a monocyclic or polycyclic alkyl group in which at least one ring carbon atom of its cyclic structure being replaced with a heteroatom selected from the group consisting of N, O, S or P and the group is containing one or more substituents selected from the group consisting of halogen, alkyl, substituted alkyl, carbyloxy, carbylmercapto, aryl, nitro, mercapto or sulfo, whereas these generic substituent group have meanings which are identical with definitions of the corresponding groups as defined in this legend.

The term “hydrocarbyl” shall mean a compound which contains carbon and hydrogen and which may be fully saturated, partially unsaturated or aromatic and includes aryl groups, alkyl groups, alkenyl groups and alkynyl groups.

The term “alkyl” shall mean within its context a linear, branch-chained or cyclic fully saturated hydrocarbon radical or alkyl group, preferably a C₁-C₁₀, more preferably a C₁-C₆, alternatively a C₁-C₃ alkyl group, which may be optionally substituted. Examples of alkyl groups are methyl, ethyl, n-butyl, sec-butyl, n-hexyl, n-heptyl, n-octyl, n-nonyl, n-decyl, isopropyl, 2-methylpropyl, cyclopropyl, cyclopropylmethyl, cyclobutyl, cyclopentyl, cyclopen-tylethyl, cyclohexylethyl and cyclohexyl, among others. In certain embodiments, the alkyl group is end-capped with a halogen group (Br, Cl, F, or I).

The term “alkylamino” refers to a radical formed by the removal of one hydrogen atom from the nitrogen of an alkylamine, such as butylamine, and the term “dialkylamino” refers to a radical formed by the removal of one hydrogen atom from the nitrogen of a secondary amine, such as dibutylamine. In both cases it is expected that the point of attachment to the rest of the molecule is the nitrogen atom.

The term “lower alkyl” alone or in combination means an alkane-derived radical containing from 1 to 6 carbon atoms (unless specifically defined) that includes a straight chain alkyl or branched alkyl. The straight chain or branched alkyl group is attached at any available point to produce a stable compound. In many embodiments, a lower alkyl is a straight or branched alkyl group containing from 1-6, 1-4, or 1-2, carbon atoms, such as methyl, ethyl, propyl, isopropyl, butyl, t-butyl, and the like.

The term “lower alkoxy” refers to methoxy, ethoxy or propoxy.

“Lower alkylene” refers to a divalent alkane-derived radical containing 1-6 carbon atoms, straight chain or branched, from which two hydrogen atoms are taken from the same carbon atom or from different carbon atoms. Examples of lower alkylene include, but are not limited to, methylene —CH₂—, ethylene —CH₂CH₂—, propylene —CH₂CH₂CH₂—, isopropylene —CH(CH₃)CH—, and the like.

“Lower alkenyl” alone or in combination means a straight or branched hydrocarbon containing 2-6 carbon atoms (unless specifically defined) and at least one, preferably 1-3, more preferably 1-2, most preferably one, carbon to carbon double bond. Carbon to carbon double bonds may be either contained within a straight chain or branched portion. Examples of lower alkenyl groups include ethenyl, propenyl, isopropenyl, butenyl, and the like.

“Lower alkynyl” alone or in combination means a straight or branched hydrocarbon containing 2-6 carbon atoms (unless specifically defined) containing at least one, preferably one, carbon to carbon triple bond. Examples of alkynyl groups include ethynyl, propynyl, butynyl, and the like.

The term “alkoxy” refers to a saturated or partially unsaturated branched or straight chain monovalent hydrocarbon alcohol radical derived by the removal of the hydrogen atom from the hydroxide oxygen substituent on a parent alkane, alkene or alkyne. Where specific levels of saturation are intended, the nomenclature “alkoxy”, “alkenyloxy” and “alkynyloxy” are used consistent with the definitions of alkyl, alkenyl and alkynyl. Examples include C₁₋₈alkoxy or C₁₋₄alkoxy groups

The term “alkoxyether” refers to a saturated branched or straight chain monovalent hydrocarbon alcohol radical derived by the removal of the hydrogen atom from the hydroxide oxygen substituent on a hydroxyether. Examples include 1-hydroxyl-2-methoxy-ethane and 1-(2-hydroxyl-ethoxy)-2-methoxy-ethane groups.

The term “benzo-fused cycloalkyl” refers to a bicyclic fused ring system radical wherein one of the rings is phenyl and the other is a cycloalkyl or cycloalkenyl ring. Typical benzo-fused cycloalkyl radicals include indanyl, 1,2,3,4-tetrahydro-naphthalenyl, 6,7,8,9,-tetrahydro-5H-benzocycloheptenyl, 5,6,7,8,9,10-hexahydro-benzocyclooctenyl and the like. A benzo-fused cycloalkyl ring system is a subset of the aryl group.

The term “cycloalkenyl” refers to a partially unsaturated cycloalkyl radical derived by the removal of one hydrogen atom from a hydrocarbon ring system that contains at least one carbon-carbon double bond. Examples include cyclohexenyl, cyclopentenyl and 1,2,5,6-cyclooctadienyl.

The term “benzo-fused heteroaryl” refers to a bicyclic fused ring system radical wherein one of the rings is phenyl and the other is a heteroaryl ring. Typical benzo-fused heteroaryl radicals include indolyl, indolinyl, isoindolyl, benzo[b]furyl, benzo[b]thienyl, indazolyl, benzthiazolyl, quinolinyl, isoquinolinyl, cinnolinyl, phthalazinyl, quinazolinyl, and the like. A benzo-fused heteroaryl ring is a subset of the heteroaryl group.

The term “benzo-fused heterocyclyl” refers to a bicyclic fused ring system radical wherein one of the rings is phenyl and the other is a heterocyclyl ring. Typical benzo-fused heterocyclyl radicals include 1,3-benzodioxolyl (also known as 1,3-methylenedioxyphenyl), 2,3-dihydro-1,4-benzodioxinyl (also known as 1,4-ethylenedioxyphenyl), benzo-dihydro-furyl, benzo-tetrahydro-pyranyl, benzo-dihydro-thienyl and the like.

The term “heterocyclyl” refers to a saturated or partially unsaturated monocyclic ring radical derived by the removal of one hydrogen atom from a single carbon or nitrogen ring atom. Typical heterocyclyl radicals include 2H-pyrrole, 2-pyrrolinyl, 3-pyrrolinyl, pyrrolidinyl, 1,3-dioxolanyl, 2-imidazolinyl (also referred to as 4,5-dihydro-1H-imidazolyl), imidazolidinyl, 2-pyrazolinyl, pyrazolidinyl, tetrazolyl, piperidinyl, 1,4-dioxanyl, morpholinyl, 1,4-dithianyl, thiomorpholinyl, piperazinyl, azepanyl, hexahydro-1,4-diazepinyl and the like, pyrrolinyl.

The term “fused ring system” refers to a bicyclic molecule in which two adjacent atoms are present in each of the two cyclic moieties. Heteroatoms may optionally be present. Examples include benzothiazole, 1,3-benzodioxole and decahydronaphthalene.

The term “hetero” used as a prefix for a ring system refers to the replacement of at least one ring carbon atom with one or more atoms independently selected from N, S, o or P. Examples include rings wherein 1, 2, 3 or 4 ring members are a nitrogen atom; or, 0, 1, 2 or 3 ring members are nitrogen atoms and 1 member is an oxygen or sulfur atom.

The term “heteroaralkyl” refers to a C.sub.16 alkyl group containing a heteroaryl substituent. Examples include furylmethyl and pyridylpropyl. It is intended that the point of attachment to the rest of the molecule be the alkyl group.

The term “hydroxyalkyl” refers to both linear and branched chain radicals of up to 6 carbon atoms, in which one hydrogen atom has been replaced with an OH group.

The term “hydroxyalkylamino” refers to an hydroxyalkyl group in which one hydrogen atom from the carbon chain has been replaced with an amino group, wherein the nitrogen is the point of attachment to the rest of the molecule.

The term “sulfonyl” refers to the group —S(O)₂R_(a), where R_(a) is hydrogen, alkyl, cycloalkyl, haloalkyl, aryl, aralkyl, heteroaryl and heteroaralkyl. A “sulfonylating agent” adds the —S(O)₂R_(a) group to a molecule.

In any of the embodiments described herein, the W, X, Y, Z, G, G′, R, R′, R″, Q1-Q4, A, and Rn can independently be covalently coupled to a linker and/or a linker to which is attached one or more PTM, ULM, ILM or ILM′ groups.

Exemplary MLMs

In certain additional embodiments, the MLM of the bifunctional compound comprises chemical moieties such as substituted imidazolines, substituted spiro-indolinones, substituted pyrrolidines, substituted piperidinones, substituted morpholinones, substituted pyrrolopyrimidines, substituted imidazolopyridines, substituted thiazoloimidazoline, substituted pyrrolopyrrolidinones, and substituted isoquinolinones.

In additional embodiments, the MLM comprises the core structures mentioned above with adjacent bis-aryl substitutions positioned as cis- or trans-configurations.

In still additional embodiments, the MLM comprises part of structural features as in RG7112, RG7388, SAR405838, AMG-232, AM-7209, DS-5272, MK-8242, and NVP-CGM-097, and analogs or derivatives thereof.

In certain preferred embodiments, MLM is a derivative of substituted imidazoline represented as Formula (A-1), or thiazoloimidazoline represented as Formula (A-2), or spiro indolinone represented as Formula (A-3), or pyrollidine represented as Formula (A-4), or piperidinone/morphlinone represented as Formula (A-5), or isoquinolinone represented as Formula (A-6), or pyrollopyrimidine/imidazolopyridine represented as Formula (A-7), or pyrrolopyrrolidinone/imidazolopyrrolidinone represented as Formula (A-8).

wherein in Formula (A-1) through Formula (A-8), X of Formula (A-1) through Formula (A-8) is selected from the group consisting of carbon, oxygen, sulfur, sulfoxide, sulfone, and N—R^(a); R^(a) is independently H or an alkyl group with carbon number 1 to 6; Y and Z of Formula (A-1) through Formula (A-8) are independently carbon or nitrogen; A, A′ and A″ of Formula (A-1) through Formula (A-8) are independently selected from C, N, O or S, can also be one or two atoms forming a fused bicyclic ring, or a 6,5- and 5,5-fused aromatic bicyclic group; R₁, R₂ of Formula (A-1) through Formula (A-8) are independently selected from the group consisting of an aryl or heteroaryl group, a heteroaryl group having one or two heteroatoms independently selected from sulfur or nitrogen, wherein the aryl or heteroaryl group can be mono-cyclic or bi-cyclic, or unsubstituted or substituted with one to three substituents independently selected from the group consisting of:

-   -   halogen, —CN, C1 to C6 alkyl group, C3 to C6 cycloalkyl, —OH,         alkoxy with 1 to 6 carbons, fluorine substituted alkoxy with 1         to 6 carbons, sulfoxide with 1 to 6 carbons, sulfone with 1 to 6         carbons, ketone with 2 to 6 carbons, amides with 2 to 6 carbons,         and dialkyl amine with 2 to 6 carbons;         R₃, R₄ of Formula (A-1) through Formula (A-8) are independently         selected from the group consisting of H, methyl and C1 to C6         alkyl;         R₅ of Formula (A-1) through Formula (A-8) is selected from the         group consisting of an aryl or heteroaryl group, a heteroaryl         group having one or two heteroatoms independently selected from         sulfur or nitrogen, wherein the aryl or heteroaryl group can be         mono-cyclic or bi-cyclic, or unsubstituted or substituted with         one to three substituents independently selected from the group         consisting of:     -   halogen, —CN, C1 to C6 alkyl group, C3 to C6 cycloalkyl, —OH,         alkoxy with 1 to 6 carbons, fluorine substituted alkoxy with 1         to 6 carbons, sulfoxide with 1 to 6 carbons, sulfone with 1 to 6         carbons, ketone with 2 to 6 carbons, amides with 2 to 6 carbons,         dialkyl amine with 2 to 6 carbons, alkyl ether (C2 to C6), alkyl         ketone (C3 to C6), morpholinyl, alkyl ester (C3 to C6), alkyl         cyanide (C3 to C6);         R₆ of Formula (A-1) through Formula (A-8) is H or —C(═O)R^(b),         wherein     -   R^(b) of Formula (A-1) through Formula (A-8) is selected from         the group consisting of alkyl, cycloalkyl, mono-, di- or         tri-substituted aryl or heteroaryl, 4-morpholinyl,         1-(3-oxopiperazunyl), 1-piperidinyl, 4-N—R^(c)-morpholinyl,         4-R^(c)-1-piperidinyl, and 3-R^(c)-1-piperidinyl, wherein     -   R^(c) of Formula (A-1) through Formula (A-8) is selected from         the group consisting of alkyl, fluorine substituted alkyl, cyano         alkyl, hydroxyl-substituted alkyl, cycloalkyl, alkoxyalkyl,         amide alkyl, alkyl sulfone, alkyl sulfoxide, alkyl amide, aryl,         heteroaryl, mono-, bis- and tri-substituted aryl or heteroaryl,         CH2CH2R^(d), and CH2CH2CH2R^(d), wherein     -   R^(d) of Formula (A-1) through Formula (A-8) is selected from         the group consisting of alkoxy, alkyl sulfone, alkyl sulfoxide,         N-substituted carboxamide, —NHC(O)-alkyl, —NH—SO₂-alkyl, aryl,         substituted aryl, heteroaryl, substituted heteroaryl;         R₇ of Formula (A-1) through Formula (A-8) is selected from the         group consisting of H, C1 to C6 alkyl, cyclic alkyl, fluorine         substituted alkyl, cyano substituted alkyl, 5- or 6-membered         hetero aryl or aryl, substituted 5- or 6-membered hetero aryl or         aryl;         R₈ of Formula (A-1) through Formula (A-8) is selected from the         group consisting of —R^(e)—C(O)—R^(f), —R^(e)-alkoxy,         —R^(e)-aryl, —R^(e)-heteroaryl, and         —R^(e)—C(O)—R^(f)—C(O)—R^(g), wherein:     -   R^(e) of Formula (A-1) through Formula (A-8) is an alkylene with         1 to 6 carbons, or a bond;     -   R^(f) of Formula (A-1) through Formula (A-8) is a substituted 4-         to 7-membered heterocycle;     -   R⁸ of Formula (A-1) through Formula (A-8) is selected from the         group consisting of aryl, hetero aryl, substituted aryl or         heteroaryl, and 4- to 7-membered heterocycle;         R₉ of Formula (A-1) through Formula (A-8) is selected from the         group consisting of a mono-, bis- or tri-substituent on the         fused bicyclic aromatic ring in Formula (A-3), wherein the         substitutents are independently selected from the group         consisting of halogen, alkene, alkyne, alkyl, unsubstituted or         substituted with Cl or F;         R₁₀ of Formula (A-1) through Formula (A-8) is selected from the         group consisting of an aryl or heteroaryl group, wherein the         heteroaryl group can contain one or two heteroatoms as sulfur or         nitrogen, aryl or heteroaryl group can be mono-cyclic or         bi-cyclic, the aryl or heteroaryl group can be unsubstituted or         substituted with one to three substituents, including a halogen,         F, Cl, —CN, alkene, alkyne, C1 to C6 alkyl group, C1 to C6         cycloalkyl, —OH, alkoxy with 1 to 6 carbons, fluorine         substituted alkoxy with 1 to 6 carbons, sulfoxide with 1 to 6         carbons, sulfone with 1 to 6 carbons, ketone with 2 to 6         carbons;         R₁₁ of Formula (A-1) through Formula (A-8) is         —C(O)—N(R^(h))(R^(i)), wherein R^(h) and R^(i) are selected from         groups consisting of the following:     -   H, C1 to C6 alkyl, alkoxy substituted alkyl, sulfone substituted         alkyl, aryl, heterol aryl, mono-, bis- or tri-substituted aryl         or hetero aryl, alkyl carboxylic acid, heteroaryl carboxylic         acid, alkyl carboxylic acid, fluorine substituted alkyl         carboxylic acid, aryl substituted cycloalkyl, hetero aryl         substituted cycloalkyl; wherein     -   R^(h) and R^(i) of Formula (A-1) through Formula (A-8) are         independently selected from the group consisting of H, connected         to form a ring, 4-hydroxycyclohehexane; mono- and di-hydroxy         substituted alkyl (C3 to C6); 3-hydroxycyclobutane;         phenyl-4-carboxylic acid, and substituted phenyl-4-carboxylic         acid;         R₁₂ and R₁₃ of Formula (A-1) through Formula (A-8) are         independently selected from H, lower alkyl (C1 to C6), lower         alkenyl (C2 to C6), lower alkynyl (C2 to C6), cycloalkyl (4, 5         and 6-membered ring), substituted cycloalkyl, cycloalkenyl,         substituted cycloalkenyl, 5- and 6-membered aryl and heteroaryl,         R12 and R13 can be connected to form a 5- and 6-membered ring         with or without substitution on the ring;         R₁₄ of Formula (A-1) through Formula (A-8) is selected from the         group consisting of alkyl, substituted alkyl, alkenyl,         substituted alkenyl, aryl, substituted aryl, heteroaryl,         substituted heteroaryl, heterocycle, substituted heterocycle,         cycloalkyl, substituted cycloalkyl, cycloalkenyl and substituted         cycloalkenyl;         R₁₅ of Formula (A-1) through Formula (A-8) is CN;         R₁₆ of Formula (A-1) through Formula (A-8) is selected from the         group consisting of C1-6 alkyl, C1-6 cycloalkyl, C2-6 alkenyl,         C1-6 alkyl or C3-6 cycloalkyl with one or multiple hydrogens         replaced by fluorine, alkyl or cycloalkyl with one CH₂ replaced         by S(═O), —S, or —S(═O)₂, alkyl or cycloalkyl with terminal CH₃         replaced by S(═O)₂N(alkyl)(alkyl), —C(═O)N(alkyl)(alkyl),         —N(alkyl)S(═O)₂(alkyl), —C(═O)2(alkyl), —O(alkyl), C1-6 alkyl or         alkyl-cycloalkyl with hydron replaced by hydroxyl group, a 3 to         7 membered cycloalkyl or heterocycloalkyl, optionally containing         a —(C=0)- group, or a 5 to 6 membered aryl or heteroaryl group,         which heterocycloalkyl or heteroaryl group can contain from one         to three heteroatoms independently selected from O, N or S, and         the cycloalkyl, heterocycloalkyl, aryl or heteroaryl group can         be unsubstituted or substituted with from one to three         substituents independently selected from halogen, C1-6 alkyl         groups, hydroxylated C1-6 alkyl, C1-6 alkyl containing         thioether, ether, sulfone, sulfoxide, fluorine substituted ether         or cyano group;         R₁₇ of Formula (A-1) through Formula (A-8) is selected from the         group consisting of (CH₂)nC(O)NR^(k)R^(l), wherein R^(k) and         R^(l) are independently selected from H, C1-6 alkyl,         hydroxylated C1-6 alkyl, C1-6 alkoxy alkyl, C1-6 alkyl with one         or multiple hydrogens replaced by fluorine, C1-6 alkyl with one         carbon replaced by S(O), S(O)(O), C1-6 alkoxyalkyl with one or         multiple hydrogens replaced by fluorine, C1-6 alkyl with         hydrogen replaced by a cyano group, 5 and 6 membered aryl or         heteroaryl, alkyl aryl with alkyl group containing 1-6 carbons,         and alkyl heteroaryl with alkyl group containing 1-6 carbons,         wherein the aryl or heteroaryl group can be further substituted;         R₁₈ of Formula (A-1) through Formula (A-8) is selected from the         group consisting of substituted aryl, heteroaryl, alkyl,         cycloalkyl, the substitution is preferably —N(C1-4         alkyl)(cycloalkyl), —N(C1-4 alkyl)alkyl-cycloalkyl, and —N(C1-4         alkyl)[alkyl)-(heterocycle-substituted)-cycloalkyl];         R₁₉ of Formula (A-1) through Formula (A-8) is selected from the         group consisting of aryl, heteroaryl, bicyclic heteroaryl, and         these aryl or heteroaryl groups can be substituted with halogen,         C1-6 alkyl, C1-6 cycloalkyl, CF₃, F, CN, alkyne, alkyl sulfone,         the halogen substitution can be mono- bis- or tri-substituted;         R₂₀ and R₂₁ of Formula (A-1) through Formula (A-8) are         independently selected from C1-6 alkyl, C1-6 cycloalkyl, C1-6         alkoxy, hydroxylated C1-6 alkoxy, and fluorine substituted C1-6         alkoxy, wherein R₂₀ and R₂₁ can further be connected to form a         5, 6 and 7-membered cyclic or heterocyclic ring, which can         further be substituted;         R₂₂ of Formula (A-1) through Formula (A-8) is selected from the         group consisting of H, C1-6 alkyl, C1-6 cycloalkyl, carboxylic         acid, carboxylic acid ester, amide, reverse amide, sulfonamide,         reverse sulfonamide, N-acyl urea, nitrogen-containing 5-membered         heterocycle, the 5-membered heterocycles can be further         substituted with C1-6 alkyl, alkoxy, fluorine-substituted alkyl,         CN, and alkylsulfone;         R₂₃ of Formula (A-1) through Formula (A-8) is selected from         aryl, heteroaryl, —O-aryl, —O— heteroaryl, —O-alkyl,         —O-alkyl-cycloalkyl, —NH-alkyl, —NH-alkyl-cycloalkyl,         —N(H)-aryl, —N(H)— heteroaryl, —N(alkyl)-aryl,         —N(alkyl)-heteroaryl, the aryl or heteroaryl groups can be         substituted with halogen, C1-6 alkyl, hydroxylated C1-6 alkyl,         cycloalkyl, fluorine-substituted C1-6 alkyl, CN, alkoxy, alkyl         sulfone, amide and sulfonamide;         R₂₄ of Formula (A-1) through Formula (A-8) is selected from the         group consisting of —CH2-(C1-6 alkyl), —CH2-cycloalkyl,         —CH2-aryl, CH2-heteroaryl, where alkyl, cycloalkyl, aryl and         heteroaryl can be substituted with halogen, alkoxy, hydoxylated         alkyl, cyano-substituted alkyl, cycloalyl and substituted         cycloalkyl;         R₂₅ of Formula (A-1) through Formula (A-8) is selected from the         group consisting of C1-6 alkyl, C1-6 alkyl-cycloalkyl,         alkoxy-substituted alkyl, hydroxylated alkyl, aryl, heteroaryl,         substituted aryl or heteroaryl, 5,6, and 7-membered         nitrogen-containing saturated heterocycles, 5,6-fused and         6,6-fused nitrogen-containing saturated heterocycles and these         saturated heterocycles can be substituted with C1-6 alkyl,         fluorine-substituted C1-6 alkyl, alkoxy, aryl and heteroaryl         group;         R₂₆ of Formula (A-1) through Formula (A-8) is selected from the         group consisting of C1-6 alkyl, C3-6 cycloalkyl, the alkyl or         cycloalkyl can be substituted with —OH, alkoxy,         fluorine-substituted alkoxy, fluorine-substituted alkyl, —NH₂,         —NH-alkyl, NH—C(O)alkyl, —NH—S(O)₂-alkyl, and —S(O)₂-alkyl;         R₂₇ of Formula (A-1) through Formula (A-8) is selected from the         group consisting of aryl, heteroaryl, bicyclic heteroaryl,         wherein the aryl or heteroaryl groups can be substituted with         C1-6 alkyl, alkoxy, NH2, NH-alkyl, halogen, or —CN, and the         substitution can be independently mono-, bis- and         tri-substitution;         R₂₈ of Formula (A-1) through Formula (A-8) is selected from the         group consisting of aryl, 5 and 6-membered heteroaryl, bicyclic         heteroaryl, cycloalkyl, saturated heterocycle such as         piperidine, piperidinone, tetrahydropyran, N-acyl-piperidine,         wherein the cycloalkyl, saturated heterocycle, aryl or         heteroaryl can be further substituted with —OH, alkoxy, mono-,         bis- or tri-substitution including halogen, —CN, alkyl sulfone,         and fluorine substituted alkyl groups; and         R_(1″) of Formula (A-1) through Formula (A-8) is selected from         the group consisting of alkyl, aryl substituted alkyl, alkoxy         substituted alkyl, cycloalkyl, aryl-substituted cycloalkyl, and         alkoxy substituted cycloalkyl.

In certain embodiments, the heterocycles in R^(f) and R^(g) of Formula (A-1) through Formula (A-8) are substituted pyrrolidine, substituted piperidine, substituted piperizine.

More specifically, non-limiting examples of MLMs include those shown below as well as those ‘hybrid’ molecules that arise from the combination of 1 or more of the different features shown in the molecules below.

Using MLM in Formula A-1 through A-8, the following PROTACs can be prepared to target a particular protein for degradation, where ‘L” is a connector (i.e. a linker group), and “PTM” is a ligand binding to a target protein.

In certain embodiments, the description provides a bifunctional molecule comprising a structure selected from the group consisting of:

wherein X, R^(a), Y, Z, A, A′, A″, R₁, R₂, R₃, R₄, R₅, R₆, R^(b), R^(c), R^(d), R₇, R^(e), R^(f), R^(g), R₉, R₁₀, R₁₁, R₁₂, R₁₃, R₁₄, R₁₅, R₁₆, R₁₇, R^(k), R^(l), R₁₈, R₁₉, R₂₀, R₂₁, R₂₂, R₂₃, R₂₄, R₂₅, R₂₆, R₂₇, R₂₈, and R_(1″) are as defined herein with regard to Formulas (A-1) through (A-8).

In certain embodiments, the description provides bifunctional or chimeric molecules with the structure: PTM-L-MLM, wherein PTM is a protein target binding moiety coupled to an MLM by L, wherein L is a bond (i.e., absent) or a chemical linker. In certain embodiments, the MLM has a structure selected from the group consisting of A-1-1, A-1-2, A-1-3, and A-1-4:

wherein: R1′ and R2′ of Formulas A-1-1 through A-1-4 (i.e., A-1-1, A-1-2, A-1-3, and A-1-4) are independently selected from the group consisting of F, Cl, Br, I, acetylene, CN, CF₃ and NO₂; R3′ is selected from the group consisting of —OCH₃, —OCH₂CH₃, —OCH₂CH₂F, —OCH₂CH₂OCH₃, and —OCH(CH₃)₂; R4′ of Formulas A-1-1 through A-1-4 is selected from the group consisting of H, halogen, —CH₃, —CF₃, —OCH₃, —C(CH₃)₃, —CH(CH₃)₂, -cyclopropyl, —CN, —C(CH₃)₂OH, —C(CH₃)₂OCH₂CH₃, —C(CH₃)₂CH₂OH, —C(CH₃)₂CH₂OCH₂CH₃, —C(CH₃)₂CH₂OCH₂CH₂OH, —C(CH₃)₂CH₂OCH₂CH₃, —C(CH₃)₂CN, —C(CH₃)₂C(O)CH₃, —C(CH₃)₂C(O)NHCH₃, —C(CH₃)₂C(O)N(CH₃)₂, —SCH₃, —SCH₂CH₃, —S(O)₂CH₃, —S(O₂)CH₂CH₃, —NHC(CH₃)₃, —N(CH₃)₂, pyrrolidinyl, and 4-morpholinyl; R5′ of Formulas A-1-1 through A-1-4 is selected from the group consisting of halogen, -cyclopropyl, —S(O)₂CH₃, —S(O)₂CH₂CH₃, 1-pyrrolidinyl, —NH₂, —N(CH₃)₂, and —NHC(CH₃)₃; and R6′ of Formulas A-1-1 through A-1-4 is selected from the structures presented below where the linker connection point is indicated as “*”. Beside R6′ as the point for linker attachment, R4′ can also serve as the linker attachment position. In the case that R4′ is the linker connection site, linker will be connected to the terminal atom of R4′ groups shown above.

In certain embodiments, the linker connection position of Formulas A-1-1 through A-1-4 is at least one of R4′ or R6′ or both.

In certain embodiments, R6′ of Formulas A-1-1 through A-1-4 is independently selected from the group consisting of H,

wherein “*” indicates the point of attachment of the linker.

In certain embodiments, the linker of Formula A-4-1 through A-4-6 is attached to at least one of R1′, R2′, R3′, R4′, R5′, R6′, or a combination thereof.

In certain embodiments, the description provides bifunctional or chimeric molecules with the structure: PTM-L-MLM, wherein PTM is a protein target binding moiety coupled to an MLM by L, wherein L is a bond (i.e., absent) or a chemical linker. In certain embodiments, the MLM has a structure selected from the group consisting of A-4-1, A-4-2, A-4-3, A-4-4, A-4-5, and A-4-6:

wherein: R7′ of Formula A-4-1 through A-4-6 (i.e., A-4-1, A-4-2, A-4-3, A-4-4, A-4-5, and A-4-6) is a member selected from the group consisting of halogen, mono-, and di- or tri-substituted halogen; R8′ of Formula A-4-1 through A-4-6 is selected from the group consisting of H, —F, —Cl, —Br, —I, —CN, —NO₂, ethylnyl, cyclopropyl, methyl, ethyl, isopropyl, vinyl, methoxy, ethoxy, isopropoxy, —OH, other C1-6 alkyl, other C1-6 alkenyl, and C1-6 alkynyl, mono-, di- or tri-substituted; R9′ of Formula A-4-1 through A-4-6 is selected from the group consisting of alkyl, substituted alkyl, alkenyl, substituted alkenyl, alkynyl, substituted alkynyl, aryl, substituted aryl, hetero aryl, substituted heteroaryl, cycloalkyl, substituted cycloalkyl, alkenyl, and substituted cycloalkenyl; Z of Formula A-4-1 through A-4-6 is selected from the group consisting of H, —OCH₃, —OCH₂CH₃, and halogen; R10′ and R11′ of Formula A-4-1 through A-4-6 are each independently selected from the group consisting of H, (CH₂)_(n)—R′, (CH₂)_(n)—NR′R″, (CH₂)_(n)—NR′COR″, (CH₂)_(n)—NR′SO₂R″, (CH₂)_(n)—COOH, (CH₂)_(n)—COOR′, (CH)_(n)—CONR′R″, (CH₂)_(n)—OR′, (CH₂)_(n)—SR′, (CH₂)_(n)—SOR′, (CH₂)_(n)—CH(OH)—R′, (CH₂)_(n)—COR′, (CH₂)_(n)—SO₂R′, (CH₂)_(n)—SONR′R″, (CH₂)_(n)—SO₂NR′R″, (CH₂CH₂O)_(m)—(CH₂)_(n)—R′, (CH₂CH₂O)_(m)—(CH₂)_(n)—OH, (CH₂CH₂O)_(m)—(CH₂)_(n)—OR′, (CH₂CH₂O)_(m)—(CH₂)_(n)—NR′R″, (CH₂CH₂O)_(m)—(CH₂)_(n)—NR′COR″, (CH₂CH₂O)_(m)(CH₂)_(n)—NR′SO₂R″, (CH₂CH₂O)_(n)(CH₂)_(n)—COOH, (CH₂CH₂O)_(m)(CH₂)_(n)—COOR′, (CH₂CH₂O)_(m)—(CH2)_(n)—CONR′R″, (CH₂CH₂O)_(m)—(CH₂)_(n)—SO₂R′, (CH₂CH₂O)_(m)—(CH₂)_(n)—COR′, (CH₂CH₂O)_(m)—(CH₂)_(n)—SONR′R″, (CH₂CH₂O)_(m)—(CH₂)_(n)—SO₂NR′R″, (CH₂)_(p)—(CH₂CH₂O)_(m)—(CH₂)_(n)R′, (CH₂)p-(CH₂CH₂O)_(m)—(CH₂)_(n)—OH, (CH₂)_(p)—(CH₂CH₂O)_(m)—(CH₂)n-OR′, (CH₂)_(p)—(CH₂CH₂O)_(m)—(CH₂)_(n)—NR′R″, (CH₂)_(p)—(CH₂CH₂O)_(m)—(CH₂)_(n)—NR′COR″, (CH₂)_(p)—(CH₂CH₂O)_(m)—(CH₂)_(n)—NR′SO₂R″, (CH₂)_(p)—(CH₂CH₂O)_(m)—(CH₂)_(n)—COOH, (CH₂)_(p)—(CH₂CH₂O)_(m)—(CH₂)_(n)—COOR′, (CH₂)_(p)—(CH₂CH₂O)_(m)—(CH₂)_(n)—CONR′R″, (CH₂)p-(CH₂CH₂O)_(m)—(CH₂)_(n)—SO₂R′, (CH2)_(p)—(CH₂CH₂O)_(m)—(CH₂)_(n)—COR′, (CH₂)_(p)—(CH₂CH₂O)_(m)—(CH₂)_(n)—SONR′R″, (CH₂)_(p)—(CH₂CH₂O)_(m)—(CH₂)_(n)—SO₂NR′R″, Aryl-(CH₂)_(n)—COOH, and heteroaryl-alkyl-CO-alkyl-NR′R″m, wherein the alkyl may be substituted with OR′, and heteroaryl-(CH₂)_(n)-heterocycle wherein the heterocycle may optionally be substituted with alkyl, hydroxyl, COOR′ and COR′; wherein R′ and R″ are selected from H, alkyl, alkyl substituted with halogen, hydroxyl, NH2, NH(alkyl), N(alkyl)₂, oxo, carboxy, cycloalkyl and heteroaryl; m, n, and p are independently 0 to 6; R12′ of Formula A-4-1 through A-4-6 is selected from the group consisting of —O-(alkyl), —O-(alkyl)-alkoxy, —C(O)-(alkyl), —C(OH)-alkyl-alkoxy, —C(O)—NH-(alkyl), —C(O)—N-(alkyl)₂, —S(O)-(alkyl), S(O)₂-(alkyl), —C(O)-(cyclic amine), and —O-aryl-(alkyl), —O-aryl-(alkoxy); R1″ of Formula A-4-1 through A-4-6 is selected from the group consisting of alkyl, aryl substituted alkyl, alkoxy substituted alkyl, cycloalkyl, ary-substituted cycloalkyl, and alkoxy substituted cycloalkyl.

In any of the aspects or embodiments described herein, the alkyl, alkoxy or the like can be a lower alkyl or lower alkoxy.

In certain embodiments, the linker connection position of Formula A-4-1 through A-4-6 is at least one of Z, R8′, R9′, R10′, R11″, R12″, or R1″.

The method used to design chimeric molecules as presented in A-1-1 through A-1-4, A-4-1 through A-4-6 can be applied to MLM with formula A-2, A-3, A-5, A-6, A-7 and A-8, wherein the solvent exposed area in the MLM can be connected to linker “L” which will be attached to target protein ligand “PTM”, to construct PROTACs.

Exemplary MDM2 binding moieties include, but not limited, the following:

The HDM2/MDM2 inhibitors identified in Vassilev, et al., In vivo activation of the p53 pathway by small-molecule antagonists of MDM2, SCIENCE vol: 303, pag: 844-848 (2004), and Schneekloth, et al., Targeted intracellular protein degradation induced by a small molecule: En route to chemical proteomics, Bioorg. Med. Chem. Lett. 18 (2008) 5904-5908, including (or additionally) the compounds nutlin-3, nutlin-2, and nutlin-1 (derivatized) as described below, as well as all derivatives and analogs thereof:

(derivatized where a linker group L or a -(L-MLM) group is attached, for example, at the methoxy group or as a hydroxyl group);

(derivatized where a linker group L or a -(L-MLM) group is attached, for example, at the methoxy group or hydroxyl group); and

(derivatized where a linker group L or a -(L-MLM) group is attached, for example, via the methoxy group or as a hydroxyl group).

Exemplary CLMs

Neo-Imide Compounds

In one aspect the description provides compounds useful for binding and/or inhibiting cereblon. In certain embodiments, the compound is selected from the group consisting of chemical structures:

wherein:

-   -   W of Formulas (a) through (e) is independently selected from the         group CH₂, CHR, C═O, SO₂, NH, and N-alkyl;     -   X of Formulas (a) through (e) is independently selected from the         group O, S and H₂,     -   Y of Formulas (a) through (e) is independently selected from the         group CH₂, —C═CR′, NH, N-alkyl, N-aryl, N-hetaryl, N-cycloalkyl,         N-heterocyclyl, O, and S; Z of Formulas (a) through (e) is         independently selected from the group O, and S or H₂ except that         both X and Z cannot be H₂,     -   G and G′ of Formulas (a) through (e) are independently selected         from the group H, alkyl (linear, branched, optionally         substituted), OH, R′ OCOOR, R′OCONRR″, CH₂-heterocyclyl         optionally substituted with R′, and benzyl optionally         substituted with R′;     -   Q1-Q4 of Formulas (a) through (e) represent a carbon C         substituted with a group independently selected from R′, N or         N-oxide;     -   A of Formulas (a) through (e) is independently selected from the         group alkyl (linear, branched, optionally substituted),         cycloalkyl, C1 and F;     -   R of Formulas (a) through (e) comprises, but is not limited to:         —CONR′R″, —OR′, —NR′R″, —SR′, —SO₂R′, —SO₂NR′ R″, —CR′ R″—, —CR′         NR′ R″—, (—CR′O)_(n)R″, -aryl, -hetaryl, -alkyl (linear,         branched, optionally substituted), -cycloalkyl, -heterocyclyl,         —P(O)(OR′)R″, —P(O)R′R″, —OP(O)(OR′)R″, —OP(O)R′R″, —Cl, —F,         —Br, —I, —CF₃, —CN, —NR′SO₂NR′R″, —NR′CONR′R″, —CONR′COR″,         —NR′C(═N—CN)NR′R″, —C(═N—CN)NR′R″, —NR′C(═N—CN)R″,         —NR′C(═C—NO₂)NR′R″, —SO₂NR′COR″, —NO₂, —CO₂R′, —C(C═N—OR′)R″,         —CR′═CR′R″, —CCR′, —S(C═O)(C═N—R′)R″, —SF₅ and —OCF₃     -   R′ and R″ of Formulas (a) through (e) are independently selected         from a bond, H, alkyl, cycloalkyl, aryl, heteroaryl,         heterocyclic, —C(═O)R, heterocyclyl, each of which is optionally         substituted;     -   n of Formulas (a) through (e) is an integer from 1-10 (e.g.,         1-4);     -   of Formulas (a) through (e) represents a bond that may be         stereospecific ((R) or (S)) or non-stereospecific; and     -   R_(n) of Formulas (a) through (e) comprises 1-4 independent         functional groups or atoms.

Exemplary CLMs

In any of the compounds described herein, the CLM comprises a chemical structure selected from the group:

wherein:

-   -   W of Formulas (a) through (e) is independently selected from the         group CH₂, CHR, C═O, SO₂, NH, and N-alkyl;     -   X of Formulas (a) through (e) is independently selected from the         group O, S and H2;     -   Y of Formulas (a) through (e) is independently selected from the         group CH₂, —C═CR′, NH, N-alkyl, N-aryl, N-hetaryl, N-cycloalkyl,         N-heterocyclyl, O, and S;     -   Z of Formulas (a) through (e) is independently selected from the         group O, and S or H2 except that both X and Z cannot be H2;     -   G and G′ of Formulas (a) through (e) are independently selected         from the group H, alkyl (linear, branched, optionally         substituted), OH, R′OCOOR, R′OCONRR″, CH₂-heterocyclyl         optionally substituted with R′, and benzyl optionally         substituted with R′;     -   Q1-Q4 of Formulas (a) through (e) represent a carbon C         substituted with a group independently selected from R′, N or         N-oxide;     -   A of Formulas (a) through (e) is independently selected from the         group H, alkyl (linear, branched, optionally substituted),         cycloalkyl, Cl and F;     -   R of Formulas (a) through (e) comprises, but is not limited to:         —CONR′R″, —OR′, —NR′R″, —SR′, —SO2R′, —SO2NR′R″, —CR′R″—,         —CR′NR′R″—, (—CR′O)_(n)R″, -aryl, -hetaryl, -alkyl (linear,         branched, optionally substituted), -cycloalkyl, -heterocyclyl,         —P(O)(OR′)R″, —P(O)R′R″, —OP(O)(OR′)R″, —OP(O)R′R″, —Cl, —F,         —Br, —I, —CF3, —CN, —NR′SO2NR′R″, —NR′CONR′R″, —CONR′COR″,         —NR′C(═N—CN)NR′R″, —C(═N—CN)NR′R″, —NR′C(═N—CN)R″,         —NR′C(═C—NO2)NR′R″, —SO2NR′COR″, —NO2, —CO2R′, —C(C═N—OR′)R″,         —CR′═CR′R″, —CCR′, —S(C═O)(C═N—R′)R″, —SF5 and —OCF3     -   R′ and R″ of Formulas (a) through (e) are independently selected         from a bond, H, alkyl, cycloalkyl, aryl, heteroaryl,         heterocyclic, —C(═O)R, heterocyclyl, each of which is optionally         substituted;     -   n of Formulas (a) through (e) is an integer from 1-10 (e.g.,         1-4);     -   of Formulas (a) through (e) represents a bond that may be         stereospecific ((R) or (S)) or non-stereospecific; and     -   Rn of Formulas (a) through (e) comprises 1-4 independent         functional groups or atoms, and optionally, one of which is         modified to be covalently joined to a PTM, a chemical linker         group (L), a ULM, CLM (or CLM′) or combination thereof.

In certain embodiments described herein, the CLM or ULM comprises a chemical structure selected from the group:

wherein:

-   -   W of Formula (g) is independently selected from the group CH₂,         C═O, NH, and N-alkyl;     -   R of Formula (g) is independently selected from a H, methyl,         alkyl (e.g., a C1-C6 alkyl (linear, branched, optionally         substituted));     -   of Formula (g) represents a bond that may be stereospecific ((R)         or (S)) or non-stereospecific; and     -   Rn of Formula (g) comprises 1-4 independently selected         functional groups or atoms, and optionally, one of which is         modified to be covalently joined to a PTM, a chemical linker         group (L), a ULM, CLM (or CLM′) or combination thereof.

In any of the embodiments described herein, the W, X, Y, Z, G, G′, R, R′, R″, Q1-Q4, A, and Rn of Formulas (a) through (g) can independently be covalently coupled to a linker and/or a linker to which is attached one or more PTM, ULM, CLM or CLM′ groups.

More specifically, non-limiting examples of CLMs include those shown below as well as those “hybrid” molecules that arise from the combination of 1 or more of the different features shown in the molecules below.

In any of the compounds described herein, the CLM comprises a chemical structure selected from the group:

wherein:

-   -   W of Formulas (h) through (ab) is independently selected from         CH₂, CHR, C═O, SO₂, NH, and N-alkyl;     -   Q₁, Q₂, Q₃, Q₄, Q₅ of Formulas (h) through (ab) are         independently represent a carbon C substituted with a group         independently selected from R′, N or N-oxide;     -   R¹ of Formulas (h) through (ab) is selected from H, CN, C1-C3         alkyl;     -   R² of Formulas (h) through (ab) is selected from the group H,         CN, C1-C3 alkyl, CHF₂, CF₃, CHO;     -   R³ of Formulas (h) through (ab) is selected from H, alkyl,         substituted alkyl, alkoxy, substituted alkoxy;     -   R⁴ of Formulas (h) through (ab) is selected from H, alkyl,         substituted alkyl;     -   R⁵ of Formulas (h) through (ab) is H or lower alkyl;     -   X of Formulas (h) through (ab) is C, CH or N;     -   R′ of Formulas (h) through (ab) is selected from H, halogen,         alkyl, substituted alkyl, alkoxy, substituted alkoxy;     -   R of Formulas (h) through (ab) is H, OH, lower alkyl, lower         alkoxy, cyano, halogenated lower alkoxy, or halogenated lower         alkyl     -   of Formulas (h) through (ab) is a single or double bond; and     -   the CLM is covalently joined to a PTM, a chemical linker group         (L), a ULM, CLM (or CLM′) or combination thereof.

In any aspect or embodiment described herein, the CLM or CLM′ is covalently joined to a PTM, a chemical linker group (L), a ULM, a CLM, a CLM′, or a combination thereof via an R group (such as, R, R¹, R², R³, R⁴ or R′), W, X, or a Q group (such as, Q₁, Q₂, Q₃, Q₄, or Q₅) of Formulas (h) through (ab).

In any of the embodiments described herein, the CLM or CLM′ is covalently joined to a PTM, a chemical linker group (L), a ULM, a CLM, a CLM′, or a combination thereof via W, X, R, R¹, R², R³, R⁴, R⁵, R′, Q₁, Q₂, Q₃, Q₄, and Q₅ of Formulas (h) through (ab).

In any of the embodiments described herein, the W, X, R¹, R², R³, R⁴, R′, Q₁, Q₂, Q₃, Q₄, and Q₅ of Formulas (h) through (ab) can independently be covalently coupled to a linker and/or a linker to which is attached to one or more PTM, ULM, ULM′, CLM or CLM′ groups.

More specifically, non-limiting examples of CLMs include those shown below as well as “hybrid” molecules or compounds that arise from combining 1 or more features of the following compounds:

wherein:

-   -   W of Formulas (ac) through (an) is independently selected from         the group CH₂, CHR, C═O, SO₂, NH, and N-alkyl;     -   R¹ of Formulas (ac) through (an) is selected from the group H,         CN, C1-C3 alkyl;     -   R³ of Formulas (ac) through (an) is selected from H, alkyl,         substituted alkyl, alkoxy, substituted alkoxy;     -   R of Formulas (ac) through (an) is H;     -   is a single or double bond; and     -   Rn of Formulas (ac) through (an) comprises a functional group or         an atom.

In any of the embodiments described herein, the W, R¹, R², Q₁, Q₂, Q₃, Q₄, and Rn of Formulas (ac) through (an) can independently be covalently coupled to a linker and/or a linker to which is attached one or more PTM, ULM, ULM′, CLM or CLM′ groups.

In any of the embodiments described herein, the R¹, R², Q₁, Q₂, Q₃, Q₄, and Rn of Formulas (ac) through (an) can independently be covalently coupled to a linker and/or a linker to which is attached one or more PTM, ULM, ULM′, CLM or CLM′ groups.

In any of the embodiments described herein, the Q₁, Q₂, Q₃, Q₄, and Rn of Formulas (ac) through (an) can independently be covalently coupled to a linker and/or a linker to which is attached one or more PTM, ULM, ULM′, CLM or CLM′ groups.

In any aspect or embodiment described herein, R_(n) of Formulas (ac) through (an) is modified to be covalently joined to the linker group (L), a PTM, a ULM, a second CLM having the same chemical structure as the CLM, a CLM′, a second linker, or any multiple or combination thereof.

In any aspect or embodiment described herein, the CLM is selected from:

wherein R′ is a halogen and R¹ is as described above with regard to Formulas (h) through (ab) or (ac) through (an).

In certain cases, the CLM can be imides that bind to cereblon E3 ligase. These imides and linker attachment point can be but not limited to the following structures:

wherein R′ is a halogen.

Exemplary VLMs

In certain embodiments of the compounds as described herein, ULM is VLM and comprises a chemical structure selected from the group ULM-a:

wherein:

-   -   where a dashed line indicates the attachment of at least one         PTM, another ULM or VLM or MLM or ILM or CLM (i.e., ULM′ or VLM′         or CLM′ or ILM′ or MLM′), or a chemical linker moiety coupling         at least one PTM, a ULM′ or a VLM′ or a CLM′ or a ILM′ or a MLM′         to the other end of the linker;     -   X¹, X² of Formula ULM-a are each independently selected from the         group of a bond, O, NR^(Y3), CR^(Y3)R^(Y4), C═O, C═S, SO, and         SO₂;     -   R^(Y3), R^(Y4) of Formula ULM-a are each independently selected         from the group of H, linear or branched C₁₋₆ alkyl, optionally         substituted by 1 or more halo, C₁₋₆ alkoxyl (optionally         substituted by 0-3 R^(P) groups);     -   R^(P) of Formula ULM-a is 0, 1, 2, or 3 groups independently         selected from the group H, halo, —OH, C₁₋₃ alkyl, C═O;     -   W³ of Formula ULM-a is selected from the group of an optionally         substituted -T-N(R^(1a)R^(1b))X³, an optionally substituted         -T-N(R^(1a)R^(1b)), an optionally substituted -T-Aryl, an         optionally substituted -T-Heteroaryl, an optionally substituted         -T-Heterocycle, an optionally substituted —NR¹-T-Aryl, an         optionally substituted —NR¹-T-Heteroaryl or an optionally         substituted —NR¹-T-Heterocycle;     -   X³ of Formula ULM-a is C═O, R¹, R^(1a), R^(1b);     -   each of R¹, R^(1a), R^(1b) is independently selected from the         group consisting of H, linear or branched C₁-C₆ alkyl group         optionally substituted by 1 or more halo or —OH groups,         R^(Y3)C═O, R^(Y3)C═S, R^(Y3)SO, R^(Y3)SO₂, N(R^(Y3)R^(Y4))C═O,         N(R^(Y3)R^(Y4))C═S, N(R^(Y3)R^(Y4))SO, and N(R^(Y3)R^(Y4))SO₂;     -   T of Formula ULM-a is covalently bonded to X¹; and     -   W⁴ of Formula ULM-a is an optionally substituted —NR1-T-Aryl, an         optionally substituted —NR1-T-Heteroaryl group or an optionally         substituted —NR1-T-Heterocycle, where —NR1 is covalently bonded         to X² and R1 is H or CH3, preferably H.

In any of the embodiments described herein, T is selected from the group of an optionally substituted alkyl, —(CH₂)_(n)— group, wherein each one of the methylene groups is optionally substituted with one or two substituents selected from the group of halogen, methyl, a linear or branched C₁-C₆ alkyl group optionally substituted by 1 or more halogen or —OH groups or an amino acid side chain optionally substituted; and n is 0 to 6, often 0, 1, 2, or 3, preferably 0 or 1.

In certain embodiments, W⁴ of Formula ULM-a is

wherein

R_(14a), R_(14b), are each independently selected from the group of H, haloalkyl, or optionally substituted alkyl;

In any of the embodiments, W⁵ of Formula ULM-a is selected from the group of a phenyl or a 5-10 membered heteroaryl, and R₁₅ of Formula ULM-a is selected from the group of H, halogen, CN, OH, NO₂, N R_(14a)R_(14b), OR_(14a), CONR_(14a)R_(14b), NR_(14a)COR_(14b), SO₂NR_(14a)R_(14b), NR_(14a) SO₂R_(14b), optionally substituted alkyl, optionally substituted haloalkyl, optionally substituted haloalkoxy; aryl, heteroaryl, cycloalkyl, or cycloheteroalkyl;

In additional embodiments, W⁴ substituents for use in the present disclosure also include specifically (and without limitation to the specific compound disclosed) the W⁴ substituents which are found in the identified compounds disclosed herein. Each of these W⁴ substituents may be used in conjunction with any number of W³ substituents which are also disclosed herein.

In certain additional embodiments, ULM-a, is optionally substituted by 0-3 R^(P) groups in the pyrrolidine moiety. Each R^(P) is independently H, halo, —OH, C1-3alkyl, C═O.

In any of the embodiments described herein, the W³, W⁴ of Formula ULM-a can independently be covalently coupled to a linker which is attached one or more PTM groups.

and wherein the dashed line indicates the site of attachment of at least one PTM, another ULM (ULM′) or a chemical linker moiety coupling at least one PTM or a ULM′ or both to ULM.

In certain embodiments, ULM is VHL and is represented by the structure:

wherein:

-   -   W³ of Formula ULM-b is selected from the group of an optionally         substituted aryl, optionally substituted heteroaryl, or

-   -   R₉ and R₁₀ of Formula ULM-b are independently hydrogen,         optionally substituted alkyl, optionally substituted cycloalkyl,         optionally substituted hydroxyalkyl, optionally substituted         heteroaryl, or haloalkyl, or R₉, R₁₀, and the carbon atom to         which they are attached form an optionally substituted         cycloalkyl;     -   R₁₁ of Formula ULM-b is selected from the group of an optionally         substituted heterocyclic, optionally substituted alkoxy,         optionally substituted heteroaryl, optionally substituted aryl,

-   -   R₁₂ of Formula ULM-b is selected from the group of H or         optionally substituted alkyl;     -   R₁₃ of Formula ULM-b is selected from the group of H, optionally         substituted alkyl, optionally substituted alkylcarbonyl,         optionally substituted (cycloalkyl)alkylcarbonyl, optionally         substituted aralkylcarbonyl, optionally substituted         arylcarbonyl, optionally substituted (heterocyclyl)carbonyl, or         optionally substituted aralkyl;     -   R_(14a), R_(14b) of Formula ULM-b, are each independently         selected from the group of H, haloalkyl, or optionally         substituted alkyl;     -   W⁵ of Formula ULM-b is selected from the group of a phenyl or a         5-10 membered heteroaryl,     -   R₁₅ of Formula ULM-b is selected from the group of H, halogen,         CN, OH, NO₂, N R_(14a)R_(14b), OR_(14a), CONR_(14a)R_(14b),         NR_(14a)COR_(14b), SO₂NR_(14a)R_(14b), NR_(14a) SO₂R_(14b),         optionally substituted alkyl, optionally substituted haloalkyl,         optionally substituted haloalkoxy; aryl, heteroaryl, cycloalkyl,         or cycloheteroalkyl (each optionally substituted);     -   R₁₆ of Formula ULM-b is independently selected from the group of         H, halo, optionally substituted alkyl, optionally substituted         haloalkyl, hydroxy, or optionally substituted haloalkoxy;     -   o of Formula ULM-b is 0, 1, 2, 3, or 4;     -   R₁₈ of Formula ULM-b is independently selected from the group of         halo, optionally substituted alkoxy, cyano, optionally         substituted alkyl, haloalkyl, haloalkoxy or a linker; and     -   p of Formula ULM-b is 0, 1, 2, 3, or 4, and wherein the dashed         line indicates the site of attachment of at least one PTM,         another ULM (ULM′) or a chemical linker moiety coupling at least         one PTM or a ULM′ or both to ULM.

In certain embodiments, R₁₅ of Formula ULM-b is

wherein R₁₇ is H, halo, optionally substituted C₃₋₆cycloalkyl, optionally substituted C₁₋₆alkyl, optionally substituted C₁₋₆alkenyl, and C₁₋₆haloalkyl; and Xa is S or O.

In certain embodiments, R₁₇ of Formula ULM-b is selected from the group methyl, ethyl, isopropyl, and cyclopropyl.

In certain additional embodiments, R₁₅ of Formula ULM-b is selected from the group consisting of:

In certain embodiments, R₁₁ of Formula ULM-b is selected from the group consisting of:

In certain embodiments, ULM has a chemical structure selected from the group of:

wherein:

-   -   R₁ of Formulas ULM-c, ULM-d, and ULM-e is H, ethyl, isopropyl,         tert-butyl, sec-butyl, cyclopropyl, cyclobutyl, cyclopentyl, or         cyclohexyl; optionally substituted alkyl, optionally substituted         hydroxyalkyl, optionally substituted heteroaryl, or haloalkyl;     -   R_(14a) of Formulas ULM-c, ULM-d, and ULM-e is H, haloalkyl,         optionally substituted alkyl, methyl, fluoromethyl,         hydroxymethyl, ethyl, isopropyl, or cyclopropyl;     -   R₁₅ of Formulas ULM-c, ULM-d, and ULM-e is selected from the         group consisting of H, halogen, CN, OH, NO₂, optionally         substituted heteroaryl, optionally substituted aryl; optionally         substituted alkyl, optionally substituted haloalkyl, optionally         substituted haloalkoxy, cycloalkyl, or cycloheteroalkyl;     -   X of Formulas ULM-c, ULM-d, and ULM-e is C, CH₂, or C═O     -   R₃ of Formulas ULM-c, ULM-d, and ULM-e is absent or an         optionally substituted 5 or 6 membered heteroaryl; and     -   wherein the dashed line indicates the site of attachment of at         least one PTM, another ULM (ULM′) or a chemical linker moiety         coupling at least one PTM or a ULM′ or both to ULM.

In certain embodiments, ULM comprises a group according to the chemical structure:

wherein:

-   -   R_(14a) of Formula ULM-f is H, haloalkyl, optionally substituted         alkyl, methyl, fluoromethyl, hydroxymethyl, ethyl, isopropyl, or         cyclopropyl;     -   R₉ of Formula ULM-f is H;     -   R₁₀ of Formula ULM-f is H, ethyl, isopropyl, tert-butyl,         sec-butyl, cyclopropyl, cyclobutyl, cyclopentyl, or cyclohexyl;

R₁₁ of Formula ULM-f is

-   -   or optionally substituted heteroaryl;     -   p of Formula ULM-f is 0, 1, 2, 3, or 4;     -   each R₁₈ of Formula ULM-f is independently halo, optionally         substituted alkoxy, cyano, optionally substituted alkyl,         haloalkyl, haloalkoxy or a linker;     -   R₁₂ of Formula ULM-f is H, C═O;     -   R₁₃ of Formula ULM-f is H, optionally substituted alkyl,         optionally substituted alkylcarbonyl, optionally substituted         (cycloalkyl)alkylcarbonyl, optionally substituted         aralkylcarbonyl, optionally substituted arylcarbonyl, optionally         substituted (heterocyclyl)carbonyl, or optionally substituted         aralkyl,     -   R₁₅ of Formula ULM-f is selected from the group consisting of H,         halogen, Cl, CN, OH, NO₂, optionally substituted heteroaryl,         optionally substituted aryl;

and

-   -   the dashed line of Formula ULM-f indicates the site of         attachment of at least one PTM, another ULM (ULM′) or a chemical         linker moiety coupling at least one PTM or a ULM′ or both to         ULM.

In certain embodiments, the ULM is selected from the following structures:

wherein n is 0 or 1.

In certain embodiments, the ULM is selected from the following structures:

wherein, the

in ULM-a1 through

ULM-b1 through

ULM-c1 through ULM-c15 and ULM-d1 through ULM-d9 is optionally substituted with fluorine, lower alkyl and alkoxy groups, and wherein the dashed line indicates the site of attachment of at least one PTM, another ULM (ULM′) or a chemical linker moiety coupling at least one PTM or a ULM′ or both to ULM-a.

In one embodiment, the phenyl ring in ULM-a1 through ULM-a15, ULM-b1 through ULM-b12, ULM-c1 through ULM-c15 and ULM-d1 through ULM-d9 can be functionalized as the ester to make it a part of the prodrug.

In certain embodiments, the hydroxyl group on the pyrrolidine ring of ULM-a1 through ULM-a15, ULM-b1 through ULM-b12, ULM-c1 through ULM-c15 and ULM-d1 through ULM-d9, respectively, comprises an ester-linked prodrug moiety.

In any of the aspects or embodiments described herein, the ULM and where present, ULM′, are each independently a group according to the chemical structure:

wherein:

-   -   R^(1′) of ULM-g is an optionally substituted C₁-C₆ alkyl group,         an optionally substituted —(CH₂)_(n)OH, an optionally         substituted —(CH₂)_(n)SH, an optionally substituted         (CH₂)_(n)—O—(C₁-C₆)alkyl group, an optionally substituted         (CH₂)_(n)—WCOCW—(C₀-C₆)alkyl group containing an epoxide moiety         WCOCW where each W is independently H or a C₁-C₃ alkyl group, an         optionally substituted —(CH₂)_(n)COOH, an optionally substituted         —(CH₂)_(n)C(O)—(C₁-C₆alkyl), an optionally substituted         —(CH₂)_(n)NHC(O)—R₁, an optionally substituted         —(CH₂)_(n)C(O)—NR₁R₂, an optionally substituted         —(CH₂)_(n)OC(O)—NR₁R₂, —(CH₂O)_(n)H, an optionally substituted         —(CH₂)_(n)OC(O)—(C₁-C₆ alkyl), an optionally substituted         —(CH₂)_(n)C(O)—O—(C₁-C₆ alkyl), an optionally substituted         —(CH₂O)_(n)COOH, an optionally substituted —(OCH₂)_(n)O—(C₁-C₆         alkyl), an optionally substituted —(CH₂O)_(n)C(O)—(C₁-C₆ alkyl),         an optionally substituted —(OCH₂)_(n)NHC(O)—R₁, an optionally         substituted —(CH₂O)_(n)C(O)—NR₁R₂, —(CH₂CH₂O)_(n)H, an         optionally substituted —(CH₂CH₂O)_(n)COOH, an optionally         substituted —(OCH₂CH₂)_(n)O—(C₁-C₆alkyl), an optionally         substituted —(CH₂CH₂O)_(n)C(O)—(C₁-C₆ alkyl), an optionally         substituted —(OCH₂CH₂)_(n)NHC(O)—R₁, an optionally substituted         —(CH₂CH₂O)_(n)C(O)—NR₁R₂, an optionally substituted —SO₂R_(S),         an optionally substituted S(O)R_(S), NO₂, CN or halogen (F, Cl,         Br, I, preferably F or Cl);     -   R₁ and R₂ of ULM-g are each independently H or a C₁-C₆ alkyl         group which may be optionally substituted with one or two         hydroxyl groups or up to three halogen groups (preferably         fluorine);     -   R_(S) of ULM-g is a C₁-C₆ alkyl group, an optionally substituted         aryl, heteroaryl or heterocycle group or a —(CH₂)_(m)NR₁R₂         group;     -   X and X′ of ULM-g are each independently C═O, C═S, —S(O), S(O)₂,         (preferably X and X′ are both C═O);     -   R^(2′) of ULM-g is an optionally substituted         —(CH₂)_(n)—(C═O)_(u)(NR₁)_(v)(SO₂)_(w)alkyl group, an optionally         substituted —(CH₂)_(n)—(C═O)_(u)(NR₁)_(v) (SO₂)_(w)NR_(1N)R_(2N)         group, an optionally substituted         —(CH₂)_(n)—(C═O)_(u)(NR₁)_(v)(SO₂)_(w)-Aryl, an optionally         substituted —(CH₂)_(n)—(C═O)_(u)(NR₁)_(v)(SO₂)_(w)-Heteroaryl,         an optionally substituted         —(CH₂)_(n)—(C═O)_(v)NR₁(SO₂)_(w)-Heterocycle, an optionally         substituted —NR¹—(CH₂)_(n)—C(O)_(u)(NR₁)_(v)(SO₂)_(w)-alkyl, an         optionally substituted         —NR¹—(CH₂)_(n)—C(O)_(u)(NR₁)_(v)(SO₂)_(w)—NR_(1N)R_(2N), an         optionally substituted         —NR¹—(CH₂)_(n)—C(O)_(u)(NR₁)_(v)(SO₂)_(w)—NR₁C(O)R_(1N), an         optionally substituted         —NR¹—(CH₂)_(n)—(C═O)_(u)(NR₁)_(v)(SO₂)_(w)-Aryl, an optionally         substituted         —NR¹—(CH₂)_(n)—(C═O)_(u)(NR₁)_(v)(SO₂)_(w)—Heteroaryl or an         optionally substituted         —NR¹—(CH₂)_(n)—(C═O)_(v)NR₁(SO₂)_(w)-Heterocycle, an optionally         substituted —X^(R2′)-alkyl group; an optionally substituted         —X^(R2′)— Aryl group; an optionally substituted —X^(R2′)—         Heteroaryl group; an optionally substituted —X^(R2′)—         Heterocycle group; an optionally substituted;     -   R^(3′) of ULM-g is an optionally substituted alkyl, an         optionally substituted         —(CH₂)_(n)—(O)_(u)(NR₁)_(v)(SO₂)_(w)-alkyl, an optionally         substituted —(CH₂)_(n)—C(O)_(u)(NR₁)_(v)(SO₂)_(w)—NR_(1N)R_(2N),         an optionally substituted         —(CH₂)_(n)—C(O)_(u)(NR₁)_(v)(SO₂)_(w)—NR₁C(O)R_(1N), an         optionally substituted         —(CH₂)_(n)—C(O)_(u)(NR₁)_(v)(SO₂)_(w)—C(O)NR₁R₂, an optionally         substituted —(CH₂)_(n)—C(O)_(u)(NR₁)_(v)(SO₂)_(w)-Aryl, an         optionally substituted         —(CH₂)_(n)—C(O)_(u)(NR₁)(SO₂)_(w)-Heteroaryl, an optionally         substituted —(CH₂)_(n)—C(O)_(u)(NR₁)(SO₂)_(w)-Heterocycle, an         optionally substituted         —NR¹—(CH₂)_(n)—C(O)_(u)(NR₁)_(v)(SO₂)_(w)-alkyl, an optionally         substituted         —NR¹—(CH₂)_(n)—C(O)_(u)(NR₁)_(v)(SO₂)_(w)—NR_(1N)R_(2N), an         optionally substituted         —NR¹—(CH₂)_(n)—C(O)_(u)(NR₁)_(v)(SO₂)_(w)—NR₁C(O)R_(1N), an         optionally substituted         —NR¹—(CH₂)_(n)—C(O)_(u)(NR₁)_(v)(SO₂)_(w)-Aryl, an optionally         substituted —NR¹—(CH₂)_(n)—C(O)_(u)(N_(R))(SO₂)_(w)-Heteroaryl,         an optionally substituted         —NR¹—(CH₂)_(n)—C(O)_(u)(NR₁)_(v)(SO₂)_(w)-Heterocycle, an         optionally substituted         —O—(CH₂)n-(C═O)_(u)(NR₁)_(v)(SO₂)_(w)-alkyl, an optionally         substituted —O—(CH₂)n-(C═O)_(u)(NR)_(v)(SO₂)_(w)—NR_(1N)R_(2N),         an optionally substituted         —O—(CH₂)n-(C═O)_(u)(NR₁)_(v)(SO₂)_(w)—NR₁C(O)R_(1N), an         optionally substituted         —O—(CH₂)n-(C═O)_(u)(NR₁)_(v)(SO₂)_(w)-Aryl, an optionally         substituted —O—(CH₂)_(n)—(C═O)(NR₁)(SO²)_(w)-Heteroaryl or an         optionally substituted         —O—(CH₂)_(n)—(C═O)_(u)(NR₁)_(v)(SO₂)_(w)-Heterocycle;         —(CH₂)_(n)—(V)_(n′)—(CH₂)_(n)—(V)_(n′)-alkyl group, an         optionally substituted         —(CH₂)_(n)—(V)_(n′)—(CH₂)_(n)—(V)_(n′)-Aryl group, an optionally         substituted —(CH₂)_(n)—(V)_(n′)—(CH₂)_(n)—(V)_(n′)-Heteroaryl         group, an optionally substituted         —(CH₂)_(n)—(V)_(n′)—(CH₂)_(n)—(V)_(n′)-Heterocycle group, an         optionally substituted         —(CH₂)_(n)—N(R_(1′))(C═O)_(m′)—(V)_(n′)-alkyl group, an         optionally substituted         —(CH₂)_(n)—N(R_(1′))(C═O)_(m′)—(V)_(n′)-Aryl group, an         optionally substituted         —(CH₂)_(n)—N(R_(1′))(C═O)_(m′)—(V)_(n′)-Heteroaryl group, an         optionally substituted         —(CH₂)_(n)—N(R_(1′))(C═O)_(m′)—(V)_(n′)-Heterocycle group, an         optionally substituted —X^(R3′)— alkyl group; an optionally         substituted —X^(R3′)— Aryl group; an optionally substituted         —X^(R3′)-Heteroaryl group; an optionally substituted         —X^(R3′)-Heterocycle group; an optionally substituted;     -   R_(1N) and R_(2N) of ULM-g are each independently H, C₁-C₆ alkyl         which is optionally substituted with one or two hydroxyl groups         and up to three halogen groups or an optionally substituted         —(CH₂)_(n)-Aryl, —(CH₂)_(n)-Heteroaryl or —(CH₂)_(n)-Heterocycle         group;     -   V of ULM-g is O, S or NR₁;     -   R₁ of ULM-g is the same as above;     -   R¹ and R₁, of ULM-g are each independently H or a C₁-C₃ alkyl         group;     -   X^(R2′) and X^(R3′) of ULM-g are each independently an         optionally substituted —CH₂)_(n)—,         —CH₂)_(n)—CH(X_(v))═CH(X_(v))— (cis or trans), —CH₂)_(n)—CH≡CH—,         —(CH₂CH₂O)_(n)— or a C₃-C₆ cycloalkyl group, where X_(v) is H, a         halo or a C₁-C₃ alkyl group which is optionally substituted;         each m of ULM-g is independently 0, 1, 2, 3, 4, 5, 6;     -   each m′ of ULM-g is independently 0 or 1;     -   each n of ULM-g is independently 0, 1, 2, 3, 4, 5, 6;     -   each n′ of ULM-g is independently 0 or 1;     -   each u of ULM-g is independently 0 or 1;     -   each v of ULM-g is independently 0 or 1;     -   each w of ULM-g is independently 0 or 1; and     -   any one or more of R^(1′), R^(2′), R^(3′), X and X′ of ULM-g is         optionally modified to be covalently bonded to the PTM group         through a linker group when PTM is not ULM′, or when PTM is         ULM′, any one or more of R^(1′), R^(2′), R^(3′), X and X′ of         each of ULM and ULM′ are optionally modified to be covalently         bonded to each other directly or through a linker group, or a         pharmaceutically acceptable salt, stereoisomer, solvate or         polymorph thereof.

In any of the aspects or embodiments described herein, the ULM and when present, ULM′, are each independently a group according to the chemical structure:

wherein:

-   -   each of R^(1′), R² and R³ of ULM-h are the same as above and X         is C═O, C═S, —S(O) group or a S(O)₂ group, more preferably a C═O         group, and     -   any one or more of R^(1′), R^(2′) and R^(3′) of ULM-h are         optionally modified to bind a linker group to which is further         covalently bonded to the PTM group when PTM is not ULM′, or when         PTM is ULM′, any one or more of R¹, R², R³ of each of ULM and         ULM′ are optionally modified to be covalently bonded to each         other directly or through a linker group, or     -   a pharmaceutically acceptable salt, enantiomer, diastereomer,         solvate or polymorph thereof.

In any of the aspects or embodiments described herein, the ULM, and when present, ULM′, are each independently according to the chemical structure:

wherein:

-   -   any one or more of R^(1′), R^(2′) and R^(3′) of ULM-I are         optionally modified to bind a linker group to which is further         covalently bonded to the PTM group when PTM is not ULM′, or when         PTM is ULM′, any one or more of R¹, R², R³ of each of ULM and         ULM′ are optionally modified to be covalently bonded to each         other directly or through a linker group, or     -   a pharmaceutically acceptable salt, enantiomer, diastereomer,         solvate or polymorph thereof.

In further preferred aspects of the invention, R^(1′) of ULM-g through ULM-i is preferably a hydroxyl group or a group which may be metabolized to a hydroxyl or carboxylic group, such that the compound represents a prodrug form of an active compound. Exemplary preferred R^(1′) groups include, for example, —(CH₂)_(n)OH, (CH₂)_(n)—O—(C₁-C₆)alkyl group, —(CH₂)_(n)COOH, —(CH₂O)_(n)H, an optionally substituted —(CH₂)_(n)OC(O)—(C₁-C₆ alkyl), or an optionally substituted —(CH₂)_(n)C(O)—O—(C₁-C₆ alkyl), wherein n is 0 or 1. Where R^(1′) is or contains a carboxylic acid group, a hydroxyl group or an amine group, the hydroxyl group, carboxylic acid group or amine (each of which may be optionally substituted), may be further chemically modified to provide a covalent link to a linker group to which the PTM group (including a ULM′ group) is bonded;

X and X′, where present, of ULM-g and ULM-h are preferably a C═O, C═S, —S(O) group or a S(O)₂ group, more preferably a C═O group;

R² of ULM-g through ULM-i is preferably an optionally substituted —NR¹-T-Aryl, an optionally substituted —NR¹-T-Heteroaryl group or an optionally substituted —NR¹-T-Heterocycle, where R¹ is H or CH₃, preferably H and T is an optionally substituted —(CH₂)_(n)— group, wherein each one of the methylene groups may be optionally substituted with one or two substituents, preferably selected from halogen, an amino acid sidechain as otherwise described herein or a C₁-C₃ alkyl group, preferably one or two methyl groups, which may be optionally substituted; and n is 0 to 6, often 0, 1, 2 or 3, preferably 0 or 1. Alternatively, T may also be a —(CH₂O)_(n)— group, a (OCH₂)_(n)— group, a —(CH₂CH₂O)_(n)— group, a —(OCH₂CH₂)_(n)— group, all of which groups are optionally substituted.

Preferred Aryl groups for R^(2′) of ULM-g through ULM-i include optionally substituted phenyl or naphthyl groups, preferably phenyl groups, wherein the phenyl or naphthyl group is connected to a PTM (including a ULM′ group) with a linker group and/or optionally substituted with a halogen (preferably F or Cl), an amine, monoalkyl- or dialkyl amine (preferably, dimethylamine), F, Cl, OH, COOH, C₁-C₆ alkyl, preferably CH₃, CF₃, OMe, OCF₃, NO₂, or CN group (each of which may be substituted in ortho-, meta- and/or para- positions of the phenyl ring, preferably para-), an optionally substituted phenyl group (the phenyl group itself is optionally connected to a PTM group, including a ULM′, with a linker group), and/or optionally substituted with at least one of F, Cl, OH, COOH, CH₃, CF₃, OMe, OCF₃, NO₂, or CN group (in ortho-, meta- and/or para- positions of the phenyl ring, preferably para-), a naphthyl group, which may be optionally substituted, an optionally substituted heteroaryl, preferably an optionally substituted isoxazole including a methylsubstituted isoxazole, an optionally substituted oxazole including a methylsubstituted oxazole, an optionally substituted thiazole including a methyl substituted thiazole, an optionally substituted isothiazole including a methyl substituted isothiazole, an optionally substituted pyrrole including a methylsubstituted pyrrole, an optionally substituted imidazole including a methylimidazole, an optionally substituted benzimidazole or methoxybenzylimidazole, an optionally substituted oximidazole or methyloximidazole, an optionally substituted diazole group, including a methyldiazole group, an optionally substituted triazole group, including a methylsubstituted triazole group, an optionally substituted pyridine group, including a halo- (preferably, F) or methylsubstitutedpyridine group or an oxapyridine group (where the pyridine group is linked to the phenyl group by an oxygen), an optionally substituted furan, an optionally substituted benzofuran, an optionally substituted dihydrobenzofuran, an optionally substituted indole, indolizine or azaindolizine (2, 3, or 4-azaindolizine), an optionally substituted quinoline, an optionally substituted group according to the chemical structure:

wherein:

-   -   S^(c) of ULM-g through ULM-i is CHR^(SS), NR^(URE), or O;     -   R^(HET) of ULM-g through ULM-i is H, CN, NO₂, halo (preferably         Cl or F), optionally substituted C₁-C₆ alkyl (preferably         substituted with one or two hydroxyl groups or up to three halo         groups (e.g. CF₃), optionally substituted O(C₁-C₆ alkyl)         (preferably substituted with one or two hydroxyl groups or up to         three halo groups) or an optionally substituted acetylenic group         —C≡C—R_(a) where R_(a) is H or a C₁-C₆ alkyl group (preferably         C₁-C₃ alkyl);     -   R^(SS) of ULM-g through ULM-i is H, CN, NO₂, halo (preferably F         or Cl), optionally substituted C₁-C₆ alkyl (preferably         substituted with one or two hydroxyl groups or up to three halo         groups), optionally substituted O—(C₁-C₆ alkyl) (preferably         substituted with one or two hydroxyl groups or up to three halo         groups) or an optionally substituted —C(O)(C₁-C₆ alkyl)         (preferably substituted with one or two hydroxyl groups or up to         three halo groups);     -   R^(UBE) of ULM g through ULM-i is H, a C₁-C₆ alkyl (preferably H         or C₁-C₃ alkyl) or a —C(O)(C₁-C₆ alkyl) each of which groups is         optionally substituted with one or two hydroxyl groups or up to         three halogen, preferably fluorine groups, or an optionally         substituted phenyl group, an optionally substituted heteroaryl,         or an optionally substituted heterocycle, preferably for example         piperidine, morpholine, pyrrolidine, tetrahydrofuran);     -   R^(PRO) of ULM-g through ULM-i is H, optionally substituted         C₁-C₆ alkyl or an optionally substituted aryl (phenyl or         napthyl), heteroaryl or heterocyclic group selected from the         group consisting of oxazole, isoxazole, thiazole, isothiazole,         imidazole, diazole, oximidazole, pyrrole, pyrollidine, furan,         dihydrofuran, tetrahydrofuran, thiene, dihydrothiene,         tetrahydrothiene, pyridine, piperidine, piperazine, morpholine,         quinoline, (each preferably substituted with a C₁-C₃ alkyl         group, preferably methyl or a halo group, preferably F or Cl),         benzofuran, indole, indolizine, azaindolizine;     -   R^(PRO1) and R^(PRO2 of ULM-g through ULM-i) are each         independently H, an optionally substituted C₁-C₃ alkyl group or         together form a keto group; and     -   each n of ULM-g through ULM-i is independently 0, 1, 2, 3, 4, 5,         or 6 (preferably 0 or 1), or an optionally substituted         heterocycle, preferably tetrahydrofuran, tetrahydrothiene,         piperidine, piperazine or morpholine (each of which groups when         substituted, are preferably substituted with a methyl or halo         (F, Br, Cl), each of which groups may be optionally attached to         a PTM group (including a ULM′ group) via a linker group.

In certain preferred aspects,

of ULM-g through ULM-i is a

group, where R^(PRO) and n of ULM-g through ULM-i are the same as above.

Preferred heteroaryl groups for R^(2′) of ULM-g through ULM-i include an optionally substituted quinoline (which may be attached to the pharmacophore or substituted on any carbon atom within the quinoline ring), an optionally substituted indole, an optionally substituted indolizine, an optionally substituted azaindolizine, an optionally substituted benzofuran, including an optionally substituted benzofuran, an optionally substituted isoxazole, an optionally substituted thiazole, an optionally substituted isothiazole, an optionally substituted thiophene, an optionally substituted pyridine (2-, 3, or 4-pyridine), an optionally substituted imidazole, an optionally substituted pyrrole, an optionally substituted diazole, an optionally substituted triazole, a tetrazole, an optionally substituted oximidazole, or a group according to the chemical structure:

wherein:

-   -   S^(c) of ULM-g through ULM-i is CHR^(SS), NR^(URE), or O;     -   R^(HET) of ULM-g through ULM-i is H, CN, NO₂, halo (preferably         Cl or F), optionally substituted C₁-C₆ alkyl (preferably         substituted with one or two hydroxyl groups or up to three halo         groups (e.g. CF₃), optionally substituted O(C₁-C₆ alkyl)         (preferably substituted with one or two hydroxyl groups or up to         three halo groups) or an optionally substituted acetylenic group         —C≡C—R_(a) where R_(a) of ULM-g through ULM-i is H or a C₁-C₆         alkyl group (preferably C₁-C₃ alkyl);     -   R^(SS) of ULM-g through ULM-i is H, CN, NO₂, halo (preferably F         or Cl), optionally substituted C₁-C₆ alkyl (preferably         substituted with one or two hydroxyl groups or up to three halo         groups), optionally substituted O—(C₁-C₆ alkyl) (preferably         substituted with one or two hydroxyl groups or up to three halo         groups) or an optionally substituted —C(O)(C₁-C₆ alkyl)         (preferably substituted with one or two hydroxyl groups or up to         three halo groups);     -   R^(URE) of ULM-g through ULM-i is H, a C₁-C₆ alkyl (preferably H         or C₁-C₃ alkyl) or a —C(O)(C₁-C₆ alkyl), each of which groups is         optionally substituted with one or two hydroxyl groups or up to         three halogen, preferably fluorine groups, or an optionally         substituted heterocycle, for example piperidine, morpholine,         pyrrolidine, tetrahydrofuran, tetrahydrothiophene, piperidine,         piperazine, each of which is optionally substituted, and     -   Y^(C) of ULM-g through ULM-i is N or C—R^(YC), where R^(YC) is         H, OH, CN, NO₂, halo (preferably Cl or F), optionally         substituted C₁-C₆ alkyl (preferably substituted with one or two         hydroxyl groups or up to three halo groups (e.g. CF₃),         optionally substituted O(C₁-C₆ alkyl) (preferably substituted         with one or two hydroxyl groups or up to three halo groups) or         an optionally substituted acetylenic group —C≡C—R_(a) where         R_(a) is H or a C₁-C₆ alkyl group (preferably C₁-C₃ alkyl), each         of which groups may be optionally connected to a PTM group         (including a ULM′ group) via a linker group.

Preferred heterocycle groups for R² of ULM-g through ULM-i include tetrahydrofuran, tetrahydrothiene, tetrahydroquinoline, piperidine, piperazine, pyrrollidine, morpholine, oxane or thiane, each of which groups may be optionally substituted, or a group according to the chemical structure:

preferably, a

group, wherein:

-   -   R^(PRO) of ULM-g through ULM-i is H, optionally substituted         C₁-C₆ alkyl or an optionally substituted aryl, heteroaryl or         heterocyclic group;     -   R^(PRO1) and R^(PRO2) of ULM-g through ULM-i are each         independently H, an optionally substituted C₁-C₃ alkyl group or         together form a keto group and     -   each n of ULM-g through ULM-i is independently 0, 1, 2, 3, 4, 5,         or 6 (often 0 or 1), each of which groups may be optionally         connected to a PTM group (including a ULM′ group) via a linker         group.

Preferred R^(2′) substituents of ULM-g through ULM-i also include specifically (and without limitation to the specific compound disclosed) the R^(2′) substituents which are found in the identified compounds disclosed herein (which includes the specific compounds which are disclosed in the present specification, and the figures which are attached hereto). Each of these R^(2′) substituents may be used in conjunction with any number of R^(3′) substituents which are also disclosed herein.

R³ of ULM-g through ULM-i is preferably an optionally substituted -T-Aryl, an optionally substituted -T-Heteroaryl, an optionally substituted -T-Heterocycle, an optionally substituted-NR¹-T-Aryl, an optionally substituted —NR¹-T-Heteroaryl or an optionally substituted-NR¹-T-Heterocycle, where R¹ is H or a C₁-C₃ alkyl group, preferably H or CH₃, T is an optionally substituted —(CH₂)_(n)— group, wherein each one of the methylene groups may be optionally substituted with one or two substituents, preferably selected from halogen, a C₁-C₃ alkyl group or the sidechain of an amino acid as otherwise described herein, preferably methyl, which may be optionally substituted; and n is 0 to 6, often 0, 1, 2, or 3 preferably 0 or 1. Alternatively, T may also be a —(CH₂O)_(n)— group, a —(OCH₂)_(n)— group, a —(CH₂CH₂O)_(n)— group, a —(OCH₂CH₂)_(n)— group, each of which groups is optionally substituted.

Preferred aryl groups for R^(3′) of ULM-g through ULM-i include optionally substituted phenyl or naphthyl groups, preferably phenyl groups, wherein the phenyl or naphthyl group is optionally connected to a PTM group (including a ULM′ group) via a linker group and/or optionally substituted with a halogen (preferably F or Cl), an amine, monoalkyl- or dialkyl amine (preferably, dimethylamine), an amido group (preferably a —(CH₂)_(m)—NR₁C(O)R₂ group where m, R₁ and R₂ are the same as above), a halo (often F or Cl), OH, CH₃, CF₃, OMe, OCF₃, NO₂, CN or a S(O)₂R_(S) group (R_(S) is a a C₁-C₆ alkyl group, an optionally substituted aryl, heteroaryl or heterocycle group or a —(CH₂)_(m)NR₁R₂ group), each of which may be substituted in ortho-, meta- and/or para- positions of the phenyl ring, preferably para-), or an Aryl (preferably phenyl), Heteroaryl or Heterocycle. Preferably said substituent phenyl group is an optionally substituted phenyl group (i.e., the substituent phenyl group itself is preferably substituted with at least one of F, Cl, OH, SH, COOH, CH₃, CF₃, OMe, OCF₃, NO₂, CN or a linker group to which is attached a PTM group (including a ULM′ group), wherein the substitution occurs in ortho-, meta- and/or para- positions of the phenyl ring, preferably para-), a naphthyl group, which may be optionally substituted including as described above, an optionally substituted heteroaryl (preferably an optionally substituted isoxazole including a methylsubstituted isoxazole, an optionally substituted oxazole including a methylsubstituted oxazole, an optionally substituted thiazole including a methyl substituted thiazole, an optionally substituted pyrrole including a methylsubstituted pyrrole, an optionally substituted imidazole including a methylimidazole, a benzylimidazole or methoxybenzylimidazole, an oximidazole or methyloximidazole, an optionally substituted diazole group, including a methyldiazole group, an optionally substituted triazole group, including a methylsubstituted triazole group, a pyridine group, including a halo-(preferably, F) or methylsubstitutedpyridine group or an oxapyridine group (where the pyridine group is linked to the phenyl group by an oxygen) or an optionally substituted heterocycle (tetrahydrofuran, tetrahydrothiophene, pyrrolidine, piperidine, morpholine, piperazine, tetrahydroquinoline, oxane or thiane. Each of the aryl, heteroaryl or heterocyclic groups may be optionally connected to a PTM group (including a ULM′ group) via a linker group.

Preferred Heteroaryl groups for R^(3′) of ULM-g through ULM-i include an optionally substituted quinoline (which may be attached to the pharmacophore or substituted on any carbon atom within the quinoline ring), an optionally substituted indole (including dihydroindole), an optionally substituted indolizine, an optionally substituted azaindolizine (2, 3 or 4-azaindolizine) an optionally substituted benzimidazole, benzodiazole, benzoxofuran, an optionally substituted imidazole, an optionally substituted isoxazole, an optionally substituted oxazole (preferably methyl substituted), an optionally substituted diazole, an optionally substituted triazole, a tetrazole, an optionally substituted benzofuran, an optionally substituted thiophene, an optionally substituted thiazole (preferably methyl and/or thiol substituted), an optionally substituted isothiazole, an optionally substituted triazole (preferably a 1,2,3-triazole substituted with a methyl group, a triisopropylsilyl group, an optionally substituted —(CH₂)_(m)—O—C₁-C₆ alkyl group or an optionally substituted —(CH₂)_(m)—C(O)—O—C₁-C₆ alkyl group), an optionally substituted pyridine (2-, 3, or 4-pyridine) or a group according to the chemical structure:

wherein:

-   -   S^(c) of ULM-g through ULM-i is CHR^(SS), NR^(URE), or O;     -   R^(HET) of ULM-g through ULM-i is H, CN, NO₂, halo (preferably         Cl or F), optionally substituted C₁-C₆ alkyl (preferably         substituted with one or two hydroxyl groups or up to three halo         groups (e.g. CF₃), optionally substituted O(C₁-C₆ alkyl)         (preferably substituted with one or two hydroxyl groups or up to         three halo groups) or an optionally substituted acetylenic group         —C≡C—R_(a) where R_(a) is H or a C₁-C₆ alkyl group (preferably         C₁-C₃ alkyl);     -   R^(SS) of ULM-g through ULM-i is H, CN, NO₂, halo (preferably F         or Cl), optionally substituted C₁-C₆ alkyl (preferably         substituted with one or two hydroxyl groups or up to three halo         groups), optionally substituted O—(C₁-C₆ alkyl) (preferably         substituted with one or two hydroxyl groups or up to three halo         groups) or an optionally substituted —C(O)(C₁-C₆ alkyl)         (preferably substituted with one or two hydroxyl groups or up to         three halo groups);     -   R^(URE) of ULM-g through ULM-i is H, a C₁-C₆ alkyl (preferably H         or C₁-C₃ alkyl) or a —C(O)(C₁-C₆ alkyl), each of which groups is         optionally substituted with one or two hydroxyl groups or up to         three halogen, preferably fluorine groups, or an optionally         substituted heterocycle, for example piperidine, morpholine,         pyrrolidine, tetrahydrofuran, tetrahydrothiophene, piperidine,         piperazine, each of which is optionally substituted, and     -   Y^(C) of ULM-g through ULM-i is N or C—R^(YC), where R^(YC) is         H, OH, CN, NO₂, halo (preferably Cl or F), optionally         substituted C₁-C₆ alkyl (preferably substituted with one or two         hydroxyl groups or up to three halo groups (e.g. CF₃),         optionally substituted O(C₁-C₆ alkyl) (preferably substituted         with one or two hydroxyl groups or up to three halo groups) or         an optionally substituted acetylenic group —C≡C—R_(a) where         R_(a) is H or a C₁-C₆ alkyl group (preferably C₁-C₃ alkyl). Each         of said heteroaryl groups may be optionally connected to a PTM         group (including a ULM′ group) via a linker group.

Preferred heterocycle groups for R^(3′) of ULM-g through ULM-i include tetrahydroquinoline, piperidine, piperazine, pyrrollidine, morpholine, tetrahydrofuran, tetrahydrothiophene, oxane and thiane, each of which groups may be optionally substituted or a group according to the chemical structure:

wherein:

-   -   R^(PRO) of ULM-g through ULM-i is H, optionally substituted         C₁-C₆ alkyl or an optionally substituted aryl (phenyl or         napthyl), heteroaryl or heterocyclic group selected from the         group consisting of oxazole, isoxazole, thiazole, isothiazole,         imidazole, diazole, oximidazole, pyrrole, pyrollidine, furan,         dihydrofuran, tetrahydrofuran, thiene, dihydrothiene,         tetrahydrothiene, pyridine, piperidine, piperazine, morpholine,         quinoline, (each preferably substituted with a C₁-C₃ alkyl         group, preferably methyl or a halo group, preferably F or Cl),         benzofuran, indole, indolizine, azaindolizine;     -   R^(PRO1) and R^(PRO2) of ULM-g through ULM-i are each         independently H, an optionally substituted C₁-C₃ alkyl group or         together form a keto group, and     -   each n of ULM-g through ULM-i is 0, 1, 2, 3, 4, 5, or 6         (preferably 0 or 1), wherein each of said Heterocycle groups may         be optionally connected to a PTM group (including a ULM′ group)         via a linker group.

Preferred R^(3′) substituents of ULM-g through ULM-i also include specifically (and without limitation to the specific compound disclosed) the R^(3′) substituents which are found in the identified compounds disclosed herein (which includes the specific compounds which are disclosed in the present specification, and the figures which are attached hereto). Each of these R^(3′) substituents may be used in conjunction with any number of R^(2′) substituents, which are also disclosed herein.

In certain alternative preferred embodiments, R^(2′) of ULM-g through ULM-i is an optionally substituted —NR₁—X^(R2′)-alkyl group, —NR₁—X^(R2′)-Aryl group; an optionally substituted —NR₁—X^(R2′)-HET, an optionally substituted —NR₁—X^(R2′)-Aryl-HET or an optionally substituted —NR₁—X^(R2′)-HET-Aryl,

wherein:

-   -   R₁ of ULM-g through ULM-i is H or a C₁-C₃ alkyl group         (preferably H);     -   X^(R2′) of ULM-g through ULM-i is an optionally substituted         —CH₂)_(n)—, —CH₂)_(n)—CH(X_(v))═CH(X_(v))— (cis or trans),         —(CH₂)_(n)—CH≡CH—, —(CH₂CH₂O)_(n)— or a C₃-C₆ cycloalkyl group;         and     -   X_(v) of ULM-g through ULM-i is H, a halo or a C₁-C₃ alkyl group         which is optionally substituted with one or two hydroxyl groups         or up to three halogen groups;     -   Alkyl of ULM-g through ULM-i is an optionally substituted C1-C₁₀         alkyl (preferably a C₁-C₆ alkyl) group (in certain preferred         embodiments, the alkyl group is end-capped with a halo group,         often a Cl or Br);     -   Aryl of ULM-g through ULM-i is an optionally substituted phenyl         or naphthyl group (preferably, a phenyl group); and     -   HET of ULM-g through ULM-i is an optionally substituted oxazole,         isoxazole, thiazole, isothiazole, imidazole, diazole,         oximidazole, pyrrole, pyrollidine, furan, dihydrofuran,         tetrahydrofuran, thiene, dihydrothiene, tetrahydrothiene,         pyridine, piperidine, piperazine, morpholine, benzofuran,         indole, indolizine, azaindolizine, quinoline (when substituted,         each preferably substituted with a C₁-C₃ alkyl group, preferably         methyl or a halo group, preferably F or Cl) or a group according         to the chemical structure:

-   -   S^(c) of ULM-g through ULM-i is CHR^(SS), NR^(URE), or O;     -   R^(HET) of ULM-g through ULM-i is H, CN, NO₂, halo (preferably         Cl or F), optionally substituted C₁-C₆ alkyl (preferably         substituted with one or two hydroxyl groups or up to three halo         groups (e.g. CF₃), optionally substituted O(C₁-C₆ alkyl)         (preferably substituted with one or two hydroxyl groups or up to         three halo groups) or an optionally substituted acetylenic group         —C≡C—R_(a) where R_(a) is H or a C₁-C₆ alkyl group (preferably         C₁-C₃ alkyl);     -   R^(SS) of ULM-g through ULM-i is H, CN, NO₂, halo (preferably F         or Cl), optionally substituted C₁-C₆ alkyl (preferably         substituted with one or two hydroxyl groups or up to three halo         groups), optionally substituted O—(C₁-C₆ alkyl) (preferably         substituted with one or two hydroxyl groups or up to three halo         groups) or an optionally substituted —C(O)(C₁-C₆ alkyl)         (preferably substituted with one or two hydroxyl groups or up to         three halo groups);     -   R^(URE) of ULM-g through ULM-i is H, a C₁-C₆ alkyl (preferably H         or C₁-C₃ alkyl) or a —C(O)(C₁-C₆ alkyl), each of which groups is         optionally substituted with one or two hydroxyl groups or up to         three halogen, preferably fluorine groups, or an optionally         substituted heterocycle, for example piperidine, morpholine,         pyrrolidine, tetrahydrofuran, tetrahydrothiophene, piperidine,         piperazine, each of which is optionally substituted;     -   Y^(C) of ULM-g through ULM-i is N or C—R^(YC), where R^(YC) is         H, OH, CN, NO₂, halo (preferably Cl or F), optionally         substituted C₁-C₆ alkyl (preferably substituted with one or two         hydroxyl groups or up to three halo groups (e.g. CF₃),         optionally substituted O(C₁-C₆ alkyl) (preferably substituted         with one or two hydroxyl groups or up to three halo groups) or         an optionally substituted acetylenic group —C≡C—R_(a) where         R_(a) is H or a C₁-C₆ alkyl group (preferably C₁-C₃ alkyl);     -   R^(PRO) of ULM-g through ULM-i is H, optionally substituted         C₁-C₆ alkyl or an optionally substituted aryl (phenyl or         napthyl), heteroaryl or heterocyclic group selected from the         group consisting of oxazole, isoxazole, thiazole, isothiazole,         imidazole, diazole, oximidazole, pyrrole, pyrollidine, furan,         dihydrofuran, tetrahydrofuran, thiene, dihydrothiene,         tetrahydrothiene, pyridine, piperidine, piperazine, morpholine,         quinoline, (each preferably substituted with a C₁-C₃ alkyl         group, preferably methyl or a halo group, preferably F or Cl),         benzofuran, indole, indolizine, azaindolizine;     -   R^(PRO1) and R^(PRO2) of ULM-g through ULM-i are each         independently H, an optionally substituted C₁-C₃ alkyl group or         together form a keto group, and     -   each n of ULM-g through ULM-i is independently 0, 1, 2, 3, 4, 5,         or 6 (preferably 0 or 1).

Each of said groups may be optionally connected to a PTM group (including a ULM′ group) via a linker group.

In certain alternative preferred embodiments of the present invention, R^(3′) of ULM-g through ULM-i is an optionally substituted —(CH₂)_(n)—(V)_(n′)—(CH₂)_(n)—(V)_(n′)—R^(S3′) group, an optionally substituted —(CH₂)_(n)—N(R^(1′))(C═O)_(m′)—(V)_(n′)—R^(S3′) group, an optionally substituted —X^(R3′)-alkyl group, an optionally substituted —X^(R3′)-Aryl group; an optionally substituted —X^(R3′)-HET group, an optionally substituted —X^(R3′)-Aryl-HET group or an optionally substituted —X^(R3′)-HET-Aryl group, wherein:

-   -   R^(S3′) is an optionally substituted alkyl group (C₁-C₁₀,         preferably C₁-C₆ alkyl), an optionally substituted Aryl group or         a HET group;     -   R_(1′) is H or a C₁-C₃ alkyl group (preferably H);     -   V is O, S or NR₁;     -   X^(R3′) is —(CH₂)_(n)—, —(CH₂CH₂O)_(n)—,         —CH₂)_(n)—CH(X_(v))═CH(X_(v))— (cis or trans), —CH₂)_(n)—CH≡CH—,         or a C₃-C₆ cycloalkyl group, all optionally substituted;     -   X_(v) is H, a halo or a C₁-C₃ alkyl group which is optionally         substituted with one or two hydroxyl groups or up to three         halogen groups;     -   Alkyl is an optionally substituted C₁-C₁₀ alkyl (preferably a         C₁-C₆ alkyl) group (in certain preferred embodiments, the alkyl         group is end-capped with a halo group, often a Cl or Br);     -   Aryl is an optionally substituted phenyl or napthyl group         (preferably, a phenyl group); and     -   HET is an optionally substituted oxazole, isoxazole, thiazole,         isothiazole, imidazole, diazole, oximidazole, pyrrole,         pyrollidine, furan, dihydrofuran, tetrahydrofuran, thiene,         dihydrothiene, tetrahydrothiene, pyridine, piperidine,         piperazine, morpholine, benzofuran, indole, indolizine,         azaindolizine, quinoline (when substituted, each preferably         substituted with a C₁-C₃ alkyl group, preferably methyl or a         halo group, preferably F or Cl), or a group according to the         chemical structure:

-   -   S^(c) of ULM-g through ULM-i is CHR^(SS), NR^(URE), or O;     -   R^(HET) of ULM-g through ULM-i is H, CN, NO₂, halo (preferably         Cl or F), optionally substituted C₁-C₆ alkyl (preferably         substituted with one or two hydroxyl groups or up to three halo         groups (e.g. CF₃), optionally substituted O(C₁-C₆ alkyl)         (preferably substituted with one or two hydroxyl groups or up to         three halo groups) or an optionally substituted acetylenic group         —C≡C—R_(a) where R_(a) is H or a C₁-C₆ alkyl group (preferably         C₁-C₃ alkyl);     -   R^(SS) of ULM-g through ULM-i is H, CN, NO₂, halo (preferably F         or Cl), optionally substituted C₁-C₆ alkyl (preferably         substituted with one or two hydroxyl groups or up to three halo         groups), optionally substituted O—(C₁-C₆ alkyl) (preferably         substituted with one or two hydroxyl groups or up to three halo         groups) or an optionally substituted —C(O)(C₁-C₆ alkyl)         (preferably substituted with one or two hydroxyl groups or up to         three halo groups);     -   R^(URE) of ULM-g through ULM-i is H, a C₁-C₆ alkyl (preferably H         or C₁-C₃ alkyl) or a —C(O)(C₀-C₆ alkyl), each of which groups is         optionally substituted with one or two hydroxyl groups or up to         three halogen, preferably fluorine groups, or an optionally         substituted heterocycle, for example piperidine, morpholine,         pyrrolidine, tetrahydrofuran, tetrahydrothiophene, piperidine,         piperazine, each of which is optionally substituted;     -   Y^(C) of ULM-g through ULM-i is N or C—R^(YC), where R^(YC) is         H, OH, CN, NO₂, halo (preferably Cl or F), optionally         substituted C₁-C₆ alkyl (preferably substituted with one or two         hydroxyl groups or up to three halo groups (e.g. CF₃),         optionally substituted O(C₁-C₆ alkyl) (preferably substituted         with one or two hydroxyl groups or up to three halo groups) or         an optionally substituted acetylenic group —C≡C—R_(a) where         R_(a) is H or a C₁-C₆ alkyl group (preferably C₁-C₃ alkyl);     -   R^(PRO) of ULM-g through ULM-i is H, optionally substituted         C₁-C₆ alkyl or an optionally substituted aryl (phenyl or         napthyl), heteroaryl or heterocyclic group selected from the         group consisting of oxazole, isoxazole, thiazole, isothiazole,         imidazole, diazole, oximidazole, pyrrole, pyrollidine, furan,         dihydrofuran, tetrahydrofuran, thiene, dihydrothiene,         tetrahydrothiene, pyridine, piperidine, piperazine, morpholine,         quinoline, (each preferably substituted with a C₁-C₃ alkyl         group, preferably methyl or a halo group, preferably F or CO,         benzofuran, indole, indolizine, azaindolizine;     -   R^(PRO1) and R^(PRO2) of ULM-g through ULM-i are each         independently H, an optionally substituted C₁-C₃ alkyl group or         together form a keto group;     -   each n of ULM-g through ULM-i is independently 0, 1, 2, 3, 4, 5,         or 6 (preferably 0 or 1);     -   each m′ of ULM-g through ULM-i is 0 or 1; and     -   each n′ of ULM-g through ULM-i is 0 or 1;     -   wherein each of said compounds, preferably on the alkyl, Aryl or         Het groups, is optionally connected to a PTM group (including a         ULM′ group) via a linker.

In alternative embodiments, R^(3′) of ULM-g through ULM-i is —(CH₂)_(n)-Aryl, —(CH₂CH₂O)_(n)-Aryl, —(CH₂)_(n)-HET or —(CH₂CH₂O)_(n)—HET,

wherein:

-   -   said Aryl of ULM-g through ULM-i is phenyl which is optionally         substituted with one or two substitutents, wherein said         substituent(s) is preferably selected from —(CH₂)_(n)OH, C₁-C₆         alkyl which itself is further optionally substituted with CN,         halo (up to three halo groups), OH, —(CH₂)_(n)O(C₁-C₆)alkyl,         amine, mono- or di-(C₁-C₆ alkyl) amine wherein the alkyl group         on the amine is optionally substituted with 1 or 2 hydroxyl         groups or up to three halo (preferably F, Cl) groups, or     -   said Aryl group of ULM-g through ULM-i is substituted with         —(CH₂)_(n)OH, —(CH₂)_(n)—O—(C₁-C₆)alkyl,         —(CH₂)_(n)—O—(CH₂)_(n)—(C₁-C₆)alkyl, —(CH₂)_(n)—C(O)(C₀-C₆)         alkyl, —(CH₂)_(n)—C(O)O(C₀-C₆)alkyl,         —(CH₂)_(n)—OC(O)(C₀-C₆)alkyl, amine, mono- or di-(C₁-C₆ alkyl)         amine wherein the alkyl group on the amine is optionally         substituted with 1 or 2 hydroxyl groups or up to three halo         (preferably F, Cl) groups, CN, NO₂, an optionally substituted         —(CH₂)_(n)—(V)_(m′)—CH₂)_(n)—(V)_(m′)—(C₁-C₆)alkyl group, a         —(V)_(m′)—(CH₂CH₂O)_(n)—R^(PEG) group where V is O, S or         NR_(1′), R_(1′) is H or a C₁-C₃ alkyl group (preferably H) and         R^(PEG) is H or a C₁-C₆ alkyl group which is optionally         substituted (including being optionally substituted with a         carboxyl group), or     -   said Aryl group of ULM-g through ULM-i is optionally substituted         with a heterocycle, including a heteroaryl, selected from the         group consisting of oxazole, isoxazole, thiazole, isothiazole,         imidazole, diazole, oximidazole, pyrrole, pyrollidine, furan,         dihydrofuran, tetrahydrofuran, thiene, dihydrothiene,         tetrahydrothiene, pyridine, piperidine, piperazine, morpholine,         quinoline, benzofuran, indole, indolizine, azaindolizine, (when         substituted each preferably substituted with a C₁-C₃ alkyl         group, preferably methyl or a halo group, preferably F or Cl),         or a group according to the chemical structure:

-   -   S^(c) of ULM-g through ULM-i is CHR^(SS), NR^(URE), or O;     -   R^(HET) of ULM-g through ULM-i is H, CN, NO₂, halo (preferably         Cl or F), optionally substituted C₁-C₆ alkyl (preferably         substituted with one or two hydroxyl groups or up to three halo         groups (e.g. CF₃), optionally substituted O(C₁-C₆ alkyl)         (preferably substituted with one or two hydroxyl groups or up to         three halo groups) or an optionally substituted acetylenic group         —C≡C—R_(a) where R_(a) is H or a C₁-C₆ alkyl group (preferably         C₁-C₃ alkyl);     -   R^(SS) of ULM-g through ULM-i is H, CN, NO₂, halo (preferably F         or Cl), optionally substituted C₁-C₆ alkyl (preferably         substituted with one or two hydroxyl groups or up to three halo         groups), optionally substituted O—(C₁-C₆ alkyl) (preferably         substituted with one or two hydroxyl groups or up to three halo         groups) or an optionally substituted —C(O)(C₁-C₆ alkyl)         (preferably substituted with one or two hydroxyl groups or up to         three halo groups);     -   R^(URE) of ULM-g through ULM-i is H, a C₁-C₆ alkyl (preferably H         or C₁-C₃ alkyl) or a —C(O)(C₀-C₆ alkyl), each of which groups is         optionally substituted with one or two hydroxyl groups or up to         three halogen, preferably fluorine groups, or an optionally         substituted heterocycle, for example piperidine, morpholine,         pyrrolidine, tetrahydrofuran, tetrahydrothiophene, piperidine,         piperazine, each of which is optionally substituted;     -   Y^(C) of ULM-g through ULM-i is N or C—R^(YC), where R^(YC) is         H, OH, CN, NO₂, halo (preferably Cl or F), optionally         substituted C₁-C₆ alkyl (preferably substituted with one or two         hydroxyl groups or up to three halo groups (e.g. CF₃),         optionally substituted O(C₁-C₆ alkyl) (preferably substituted         with one or two hydroxyl groups or up to three halo groups) or         an optionally substituted acetylenic group —C≡C—R_(a) where         R_(a) is H or a C₁-C₆ alkyl group (preferably C₁-C₃ alkyl);     -   R^(PRO) of ULM-g through ULM-i is H, optionally substituted         C₁-C₆ alkyl or an optionally substituted aryl (phenyl or         napthyl), heteroaryl or heterocyclic group selected from the         group consisting of oxazole, isoxazole, thiazole, isothiazole,         imidazole, diazole, oximidazole, pyrrole, pyrollidine, furan,         dihydrofuran, tetrahydrofuran, thiene, dihydrothiene,         tetrahydrothiene, pyridine, piperidine, piperazine, morpholine,         quinoline, (each preferably substituted with a C₁-C₃ alkyl         group, preferably methyl or a halo group, preferably F or Cl),         benzofuran, indole, indolizine, azaindolizine;     -   R^(PRO1) and R^(PRO2) of ULM-g through ULM-i are each         independently H, an optionally substituted C₁-C₃ alkyl group or         together form a keto group; HET of ULM-g through ULM-i is         preferably oxazole, isoxazole, thiazole, isothiazole, imidazole,         diazole, oximidazole, pyrrole, pyrollidine, furan, dihydrofuran,         tetrahydrofuran, thiene, dihydrothiene, tetrahydrothiene,         pyridine, piperidine, piperazine, morpholine, quinoline, (each         preferably substituted with a C₁-C₃ alkyl group, preferably         methyl or a halo group, preferably F or Cl), benzofuran, indole,         indolizine, azaindolizine, or a group according to the chemical         structure:

-   -   S^(c) of ULM-g through ULM-i is CHR^(SS), NR^(URE), or O;     -   R^(HET) of ULM-g through ULM-i is H, CN, NO₂, halo (preferably         Cl or F), optionally substituted C₁-C₆ alkyl (preferably         substituted with one or two hydroxyl groups or up to three halo         groups (e.g. CF₃), optionally substituted O(C₁-C₆ alkyl)         (preferably substituted with one or two hydroxyl groups or up to         three halo groups) or an optionally substituted acetylenic group         —C≡C—R_(a) where R_(a) is H or a C₁-C₆ alkyl group (preferably         C₁-C₃ alkyl);     -   R^(SS) of ULM-g through ULM-i is H, CN, NO₂, halo (preferably F         or CO, optionally substituted C₁-C₆ alkyl (preferably         substituted with one or two hydroxyl groups or up to three halo         groups), optionally substituted O—(C₁-C₆ alkyl) (preferably         substituted with one or two hydroxyl groups or up to three halo         groups) or an optionally substituted —C(O)(C₁-C₆ alkyl)         (preferably substituted with one or two hydroxyl groups or up to         three halo groups);     -   R^(URE) of ULM-g through ULM-i is H, a C₁-C₆ alkyl (preferably H         or C₁-C₃ alkyl) or a —C(O)(C₀-C₆ alkyl), each of which groups is         optionally substituted with one or two hydroxyl groups or up to         three halogen, preferably fluorine groups, or an optionally         substituted heterocycle, for example piperidine, morpholine,         pyrrolidine, tetrahydrofuran, tetrahydrothiophene, piperidine,         piperazine, each of which is optionally substituted;     -   Y^(C) of ULM-g through ULM-i is N or C—R^(YC), where R^(YC) is         H, OH, CN, NO₂, halo (preferably Cl or F), optionally         substituted C₁-C₆ alkyl (preferably substituted with one or two         hydroxyl groups or up to three halo groups (e.g. CF₃),         optionally substituted O(C₁-C₆ alkyl) (preferably substituted         with one or two hydroxyl groups or up to three halo groups) or         an optionally substituted acetylenic group —C≡C—R_(a) where         R_(a) is H or a C₁-C₆ alkyl group (preferably C₁-C₃ alkyl);     -   R^(PRO) of ULM-g through ULM-i is H, optionally substituted         C₁-C₆ alkyl or an optionally substituted aryl, heteroaryl or         heterocyclic group;     -   R^(PRO1) and R^(PRO2) of ULM-g through ULM-i are each         independently H, an optionally substituted C₁-C₃ alkyl group or         together form a keto group;     -   each m′ of ULM-g through ULM-i is independently 0 or 1; and     -   each n of ULM-g through ULM-i is independently 0, 1, 2, 3, 4, 5,         or 6 (preferably 0 or 1),     -   wherein each of said compounds, preferably on said Aryl or HET         groups, is optionally connected to a PTM group (including a ULM′         group) via a linker group.

In still additional embodiments, preferred compounds include those according to the chemical structure:

wherein:

-   -   R^(1′) of ULM-i is OH or a group which is metabolized in a         patient or subject to OH;     -   R^(2′) of ULM-i is a —NH—CH₂-Aryl-HET (preferably, a phenyl         linked directly to a methyl substituted thiazole);     -   R³ of ULM-i is a —CHR^(CR3′)—NH—C(O)—R^(3P1) group or a         —CHR^(CR3′)—R^(3P2)group;     -   R^(CR3′) of ULM-i is a C₁-C₄ alkyl group, preferably methyl,         isopropyl or tert-butyl;     -   R^(3P1) of ULM-i is C₁-C₃ alkyl (preferably methyl), an         optionally substituted oxetane group (preferably methyl         substituted, a —(CH₂)—OCH₃ group where n is 1 or 2 (preferably         2), or a

group (the ethyl ether group is preferably meta-substituted on the phenyl moiety), a morpholino group (linked to the carbonyl at the 2- or 3-position;

-   -   R^(3P2) of ULM-i is a

group;

-   -   Aryl of ULM-i is phenyl;     -   HET of ULM-i is an optionally substituted thiazole or         isothiazole; and     -   R^(HET) of ULM-i is H or a halo group (preferably H);     -   or a pharmaceutically acceptable salt, stereoisomer, solvate or         polymorph thereof, wherein each of said compounds is optionally         connected to a PTM group (including a ULM′ group) via a linker         group.

In certain aspects, bifunctional compounds comprising a ubiquitin E3 ligase binding moiety (ULM), wherein ULM is a group according to the chemical structure:

wherein:

-   -   each R₅ and R₆ of ULM-j is independently OH, SH, or optionally         substituted alkyl or R₅, R₆, and the carbon atom to which they         are attached form a carbonyl;     -   R₇ of ULM-j is H or optionally substituted alkyl;     -   E of ULM-j is a bond, C═O, or C═S;     -   G of ULM-j is a bond, optionally substituted alkyl, —COOH or         C=J;     -   J of ULM-j is O or N—R₈;     -   R₈ of ULM-j is H, CN, optionally substituted alkyl or optionally         substituted alkoxy;     -   M of ULM-j is optionally substituted aryl, optionally         substituted heteroaryl, optionally substituted heterocyclic or

-   -   each R₉ and R₁₀ of ULM-j is independently H; optionally         substituted alkyl, optionally substituted cycloalkyl, optionally         substituted hydroxyalkyl, optionally substituted thioalkyl, a         disulphide linked ULM, optionally substituted heteroaryl, or         haloalkyl; or R₉, R₁₀, and the carbon atom to which they are         attached form an optionally substituted cycloalkyl;     -   R₁₁ of ULM-j is optionally substituted heterocyclic, optionally         substituted alkoxy, optionally substituted heteroaryl,         optionally substituted aryl, or

-   -   R₁₂ of ULM-j is H or optionally substituted alkyl;

R₁₃ of ULM-j is H, optionally substituted alkyl, optionally substituted alkylcarbonyl, optionally substituted (cycloalkyl)alkylcarbonyl, optionally substituted aralkylcarbonyl, optionally substituted arylcarbonyl, optionally substituted (heterocyclyl)carbonyl, or optionally substituted aralkyl; optionally substituted (oxoalkyl)carbamate,

-   -   each R₁₄ of ULM-j is independently H, haloalkyl, optionally         substituted cycloalkyl, optionally substituted alkyl or         optionally substituted heterocycloalkyl;     -   R₁₅ of ULM-j is H, optionally substituted heteroaryl, haloalkyl,         optionally substituted aryl, optionally substituted alkoxy, or         optionally substituted heterocyclyl;     -   each R₁₆ of ULM-j is independently halo, optionally substituted         alkyl, optionally substituted haloalkyl, CN, or optionally         substituted haloalkoxy;     -   each R₂₅ of ULM-j is independently H or optionally substituted         alkyl; or both R₂₅ groups can be taken together to form an oxo         or optionally substituted cycloalkyl group;     -   R₂₃ of ULM-j is H or OH;     -   Z₁, Z₂, Z₃, and Z₄ of ULM-j are independently C or N; and     -   o of ULM-j is 0, 1, 2, 3, or 4, or a pharmaceutically acceptable         salt, stereoisomer, solvate or polymorph thereof.

In certain embodiments, wherein G of ULM-j is C=J, J is O, R₇ is H, each R₁₄ is H, and o is 0.

In certain embodiments, wherein G of ULM-j is C=J, J is O, R₇ is H, each R₁₄ is H, R₁₅ is optionally substituted heteroaryl, and o is 0. In other instances, E is C═O and M is

In certain embodiments, wherein E of ULM-j is C═O, R₁₁ is optionally substituted heterocyclic or

and M is

In certain embodiments, wherein E of ULM-j is C═O, M is

and R₁₁ is

each R₁₈ is independently halo, optionally substituted alkoxy, cyano, optionally substituted alkyl, haloalkyl, or haloalkoxy; and p is 0, 1, 2, 3, or 4.

In certain embodiments, ULM and where present, ULM′, are each independently a group according to the chemical structure:

wherein:

-   -   G of ULM-k is C=J, J is O;     -   R₇ of ULM-k is H;     -   each R₁₄ of ULM-k is H;     -   o of ULM-k is 0;     -   R₁₅ of ULM-k is

and

-   -   R₁₇ of ULM-k is H, halo, optionally substituted cycloalkyl,         optionally substituted alkyl, optionally substituted alkenyl,         and haloalkyl.

In other instances, R₁₇ of ULM-k is alkyl (e.g., methyl) or cycloalkyl (e.g., cyclopropyl).

In other embodiments, ULM and where present, ULM′, are each independently a group according to the chemical structure:

wherein:

-   -   G of ULM-k is C=J, J is O;     -   R₇ of ULM-k is H;     -   each R₁₄ of ULM-k is H;     -   o of ULM-k is 0; and     -   R₁₅ of ULM-k is selected from the group consisting of:

wherein R₃₀ of ULM-k is H or an optionally substituted alkyl.

In other embodiments, ULM and where present, ULM′, are each independently a group according to the chemical structure:

wherein:

-   -   E of ULM-k is C═O;     -   M of ULM-k is

and

-   -   R₁₁ of ULM-k is selected from the group consisting of:

In still other embodiments, a compound of the chemical structure,

wherein:

-   -   E of ULM-k is C═O;

R₁₁ of ULM-k is

and

-   -   M of ULM-k is

-   -   q of ULM-k is 1 or 2;     -   R₂₀ of ULM-k is H, optionally substituted alkyl, optionally         substituted cycloalkyl, optionally substituted aryl, or

-   -   R₂₁ of ULM-k is H or optionally substituted alkyl; and     -   R₂₂ of ULM-k is H, optionally substituted alkyl, optionally         substituted alkoxy, or haloalkyl.

In any embodiment described herein, R₁₁ of ULM-j or ULM-k is selected from the group consisting of:

In certain embodiments, R₁₁ of ULM-j or ULM-k is selected from the group consisting of:

In certain embodiments, ULM (or when present ULM′) is a group according to the chemical structure:

wherein:

-   -   X of ULM-1 is O or S;     -   Y of ULM-1 is H, methyl or ethyl;     -   R₁₇ of ULM-1 is H, methyl, ethyl, hydroxymethyl or cyclopropyl;     -   M of ULM-1 is optionally substituted aryl, optionally         substituted heteroaryl, or

-   -   R_(9 of ULM-1) is H;     -   R₁₀ of ULM-1 is H, optionally substituted alkyl, optionally         substituted haloalkyl, optionally substituted heteroaryl,         optionally substituted aryl, optionally substituted         hydroxyalkyl, optionally substituted thioalkyl or cycloalkyl;     -   R11 of ULM-1 is optionally substituted heteroaromatic,         optionally substituted heterocyclic, optionally substituted aryl         or

-   -   R₁₂ of ULM-1 is H or optionally substituted alkyl; and     -   R₁₃ of ULM-1 is H, optionally substituted alkyl, optionally         substituted alkylcarbonyl, optionally substituted         (cycloalkyl)alkylcarbonyl, optionally substituted         aralkylcarbonyl, optionally substituted arylcarbonyl, optionally         substituted (heterocyclyl)carbonyl, or optionally substituted         aralkyl; optionally substituted (oxoalkyl)carbamate.

In some embodiments, ULM and where present, ULM′, are each independently a group according to the chemical structure:

wherein:

-   -   Y of ULM-m is H, methyol or ethyl     -   R₉ of ULM-m is H;     -   R₁₀ is isopropyl, tert-butyl, sec-butyl, cyclopentyl, or         cyclohexyl;     -   R₁₁ of ULM-m is optionally substituted amide, optionally         substituted isoindolinone, optionally substituted isooxazole,         optionally substituted heterocycles.

In other preferred embodiments of the invention, ULM and where present, ULM′, are each independently a group according to the chemical structure:

wherein:

-   -   R₁₇ of ULM-n is methyl, ethyl, or cyclopropyl; and     -   R₉, R₁₀, and R₁₁ of ULM-n are as defined above. In other         instances, R₉ is H; and     -   R₁₀ of ULM-n is H, alkyl, or cycloalkyl (preferably, isopropyl,         tert-butyl, sec-butyl, cyclopentyl, or cyclohexyl).

In any of the aspects or embodiments described herein, the ULM (or when present, ULM′) as described herein may be a pharmaceutically acceptable salt, enantiomer, diastereomer, solvate or polymorph thereof. In addition, in any of the aspects or embodiments described herein, the ULM (or when present, ULM′) as described herein may be coupled to a PTM directly via a bond or by a chemical linker.

In certain aspects of the invention, the ULM moiety is selected from the group consisting of:

wherein the VLM may be connected to a PTM via a linker, as described herein, at any appropriate location, including, e.g., an aryl, heteroaryl, phenyl, or phenyl of an indole group, optionally via any appropriate functional group, such as an amine, ester, ether, alkyl, or alkoxy.

Exemplary Linkers

In certain embodiments, the compounds as described herein include one or more PTMs chemically linked or coupled to one or more ULMs (e.g., at least one of CLM, VLM, MLM, ILM, or a combination thereof) via a chemical linker (L). In certain embodiments, the linker group L is a group comprising one or more covalently connected structural units (e.g., -A^(L) ₁ . . . (A^(L))_(q)- or -(A^(L))_(q)-), wherein A^(L) ₁ is a group coupled to PTM, and (A^(L))_(q) is a group coupled to ULM.

In certain embodiments, the linker group L has the chemical structure -(A^(L))_(q)-:

-   -   (A^(L))_(q) is a group that is connected to at least one of a         ULM moiety, a PTM moiety, or a combination thereof;     -   q of the linker is an integer greater than or equal to 1;     -   each A^(L) is independently selected from the group consisting         of, a bond, CR^(L1)R^(L2), O, S, SO, SO₂, NR^(L3), SO₂NR^(L3),         SONR^(L3), CONR^(L3), NR^(L3)CONR^(L4), NR^(L3)SO₂NR^(L4), CO,         CR^(L1)═CR^(L2), C≡C, SiR^(L1)R^(L2), P(O)R^(L1), P(O)OR^(L1),         NR^(L3)C(═NCN)NR^(L4), NR^(L3)C(═NCN), NR^(L3)C(═CNO₂)NR^(L4),         C₃₋₁₁cycloalkyl optionally substituted with 0-6 R^(L1) and/or         R^(L2) groups, C₅₋₁₃ spirocycloalkyl optionally substituted with         0-9 R^(L1) and/or R^(L2) groups, C₃₋₁₁heterocyclyl optionally         substituted with 0-6 R^(L1) and/or R^(L2) groups, C₅₋₁₃         spiroheterocycloalkyl optionally substituted with 0-8 R^(L1)         and/or R^(L2) groups, aryl optionally substituted with 0-6         R^(L1) and/or R^(L2) groups, heteroaryl optionally substituted         with 0-6 R^(L1) and/or R^(L2) groups, where R^(L1) or R^(L2),         each independently are optionally linked to other groups to form         cycloalkyl and/or heterocyclyl moiety, optionally substituted         with 0-4 R^(L5) groups; and     -   R^(L1), R^(L2), R^(L3), R^(L4) and R^(L5) are, each         independently, H, halo, C₁₋₈alkyl, OC₁₋₈alkyl, SC₁₋₈alkyl,         NHC₁₋₈alkyl, N(C₁₋₈alkyl)₂, C₃₋₁₁cycloalkyl, aryl, heteroaryl,         C₃₋₁₁heterocyclyl, OC₁₋₈cycloalkyl, SC₁₋₈cycloalkyl,         NHC₁₋₈cycloalkyl, N(C₁₋₈cycloalkyl)₂,         N(C₁₋₈cycloalkyl)(C₁₋₈alkyl), OH, NH₂, SH, SO₂C₁₋₈alkyl,         P(O)(OC₁₋₈alkyl)(C₁₋₈alkyl), P(O)(OC₁₋₈alkyl)₂, CC—C₁₋₈alkyl,         CCH, CH═CH(C₁₋₈alkyl), C(C₁₋₈alkyl)═CH(C₁₋₈alkyl),         C(C₁₋₈alkyl)═C(C₁₋₈alkyl)₂, Si(OH)₃, Si(C₁₋₈alkyl)₃,         Si(OH)(C₁₋₈alkyl)₂, COC₁₋₈alkyl, CO₂H, halogen, CN, CF₃, CHF₂,         CH₂F, NO₂, SF₅, SO₂NHC₁₋₈alkyl, SO₂N(C₁₋₈alkyl)₂, SONHC₁₋₈alkyl,         SON(C₁₋₈alkyl)₂, CONHC₁₋₈alkyl, CON(C₁₋₈alkyl)₂,         N(C₁₋₈alkyl)CONH(C₁₋₈alkyl), N(C₁₋₈alkyl)CON(C₁₋₈alkyl)₂,         NHCONH(C₁₋₈alkyl), NHCON(C₁₋₈alkyl)₂, NHCONH₂,         N(C₁₋₈alkyl)SO₂NH(C₁₋₈alkyl), N(C₁₋₈alkyl) SO₂N(C₁₋₈alkyl)₂, NH         SO₂NH(C₁₋₈alkyl), NH SO₂N(C₁₋₈alkyl)₂, NH SO₂NH₂.

In certain embodiments, q of the linker is an integer greater than or equal to 0. In certain embodiments, q is an integer greater than or equal to 1.

In certain embodiments, e.g., where q of the linker is greater than 2, (A^(L))_(q) is a group which is connected to ULM, and A^(L) ₁ and (A^(L))_(q) are connected via structural units of the linker (L).

In certain embodiments, e.g., where q of the linker is 2, (A^(L))_(q) is a group which is connected to A^(L) ₁ and to a ULM.

In certain embodiments, e.g., where q of the linker is 1, the structure of the linker group L is -A^(L) ₁-, and A^(L) ₁ is a group which is connected to a ULM moiety and a PTM moiety.

In certain embodiments, the linker (L) comprises a group represented by a general structure selected from the group consisting of:

-   -   —NR(CH₂)_(n)-(lower alkyl)-, —NR(CH₂)_(n)-(lower alkoxyl)-,         —NR(CH₂)_(n)-(lower alkoxyl)-OCH₂—, —NR(CH₂)_(n)-(lower         alkoxyl)-(lower alkyl)-OCH₂—, —NR(CH₂)_(n)-(cycloalkyl)-(lower         alkyl)-OCH₂—, —NR(CH₂)_(n)-(hetero cycloalkyl)-,         —NR(CH₂CH₂O)_(n)-(lower alkyl)-O—CH₂—, —NR(CH₂CH₂O)^(n)-(hetero         cycloalkyl)-O—CH₂—, —NR(CH₂CH₂O)_(n)-Aryl-O—CH₂—,         —NR(CH₂CH₂O)_(n)-(hetero aryl)-O—CH₂—,         —NR(CH₂CH₂O)_(n)-(cycloalkyl)-O-(hetero aryl)-O—CH₂—,         —NR(CH₂CH₂O)_(n)-(cycloalkyl)-O-Aryl-O—CH₂—,         —NR(CH₂CH₂O)_(n)-(lower alkyl)-NH-Aryl-O—CH₂—,         —NR(CH₂CH₂O)_(n)-(lower alkyl)-O-Aryl-CH₂,         —NR(CH₂CH₂O)_(n)-cycloalkyl-O-Aryl-,         —NR(CH₂CH₂O)_(n)-cycloalkyl-O-(hetero aryl)1-,         —NR(CH_(2C)H₂)n-(cycloalkyl)-O-(heterocycle)-CH₂,         —NR(CH₂CH₂)n-(heterocycle)-(heterocycle)-CH₂,         —N(R₁R₂)-(heterocycle)-CH₂; where     -   n of the linker can be 0 to 10;     -   R of the linker can be H, lower alkyl;     -   R1 and R2 of the linker can form a ring with the connecting N.

In certain embodiments, the linker (L) comprises a group represented by a general structure selected from the group consisting of:

—N(R)—(CH2)_(m)—O(CH2)_(n)—O(CH2)_(o)—O(CH2)_(p)—O(CH2)_(q)—O(CH2)_(r)—OCH2-, —O—(CH2)_(m)—O(CH2)_(n)—O(CH2)_(o)—O(CH2)_(p)—O(CH2)_(q)—O(CH2)_(r)-OCH2-, —O—(CH2)_(m)—O(CH2)_(n)—O(CH2)_(o)—O(CH2)_(p)—O(CH2)_(q)—O(CH2)_(r)—O—; —N(R)—(CH2)_(m)—O(CH2)_(n)—O(CH2)_(o)—O(CH2)_(p)—O(CH2)_(q)—O(CH2)_(r)—O—; —(CH2)_(m)—O(CH2)_(n)—O(CH2)_(o)—O(CH2)_(p)—O(CH2)_(q)—O(CH2)_(r)—O—; —(CH2)_(m)—O(CH2)_(n)—O(CH2)_(o)—O(CH2)_(p)—O(CH2)_(q)—O(CH2)_(r)-OCH2-;

wherein

-   -   m, n, o, p, q, and r of the linker are independently 0, 1, 2, 3,         4, 5, 6;     -   when the number is zero, there is no N—O or O—O bond     -   R of the linker is H, methyl and ethyl;     -   X of the linker is H and F

-   -   where m of the linker can be 2, 3, 4, 5

-   -   wherein each n and m of the linker can independently be 0, 1, 2,         3, 4, 5, 6.

In any aspect or embodiment described herein, the linker (L) is selected from the group consisting of:

wherein each m and n is independently selected from 0, 1, 2, 3, 4, 5, or 6.

In any aspect or embodiment described herein, the linker (L) is selected from the group consisting of:

wherein each m, n, o, p, q, and r is independently 0, 1, 2, 3, 4, 5, 6, or 7.

In any aspect or embodiment described herein, L is selected from the group consisting of:

In additional embodiments, the linker (L) comprises a structure selected from, but not limited to the structure shown below, where a dashed line indicates the attachment point to the PTM or ULM moieties.

wherein:

-   -   W^(L1) and W^(L2) are each independently a 4-8 membered ring         with 0-4 heteroatoms, optionally substituted with R^(Q), each         R^(Q) is independently a H, halo, OH, CN, CF₃, C₁-C₆ alkyl         (linear, branched, optionally substituted), C₁-C₆ alkoxy         (linear, branched, optionally substituted), or 2 R^(Q) groups         taken together with the atom they are attached to, form a 4-8         membered ring system containing 0-4 heteroatoms;     -   Y^(L1) is each independently a bond, C₁-C₆ alkyl (linear,         branched, optionally substituted) and optionally one or more C         atoms are replaced with 0; or C₁-C₆ alkoxy (linear, branched,         optionally substituted);     -   n is 0-10; and     -   a dashed line indicates the attachment point to the PTM or ULM         moieties.

In additional embodiments, the linker (L) comprises a structure selected from, but not limited to the structure shown below, where a dashed line indicates the attachment point to the PTM or ULM moieties.

wherein:

-   -   W^(L1) and W^(L2) are each independently aryl, heteroaryl,         cyclic, heterocyclic, C₁₋₆ alkyl, bicyclic, biaryl,         biheteroaryl, or biheterocyclic, each optionally substituted         with R^(Q), each R^(Q) is independently a H, halo, OH, CN, CF₃,         hydroxyl, nitro, C≡CH, C₂₋₆ alkenyl, C₂₋₆ alkynyl, C₁-C₆ alkyl         (linear, branched, optionally substituted), C₁-C₆ alkoxy         (linear, branched, optionally substituted), OC₁₋₃alkyl         (optionally substituted by 1 or more —F), OH, NH₂,         NR^(Y1)R^(Y2), CN, or 2 R^(Q) groups taken together with the         atom they are attached to, form a 4-8 membered ring system         containing 0-4 heteroatoms;     -   Y^(L1) is each independently a bond, NR^(YL1), O, S, NR^(YL2),         CR^(YL1)R^(YL2), C═O, C═S, SO, SO₂, C₁-C₆ alkyl (linear,         branched, optionally substituted) and optionally one or more C         atoms are replaced with O; C₁-C₆ alkoxy (linear, branched,         optionally substituted);     -   Q^(L) is a 3-6 membered alicyclic or aromatic ring with 0-4         heteroatoms, optionally bridged, optionally substituted with 0-6         R^(Q), each 0 is independently H, C₁₋₆ alkyl (linear, branched,         optionally substituted by 1 or more halo, C₁₋₆ alkoxyl), or 2         R^(Q) groups taken together with the atom they are attached to,         form a 3-8 membered ring system containing 0-2 heteroatoms);     -   R^(YL1), R^(YL2) are each independently H, OH, C₁₋₆ alkyl         (linear, branched, optionally substituted by 1 or more halo,         C₁₋₆ alkoxyl), or R¹, R² together with the atom they are         attached to, form a 3-8 membered ring system containing 0-2         heteroatoms);     -   n is 0-10; and     -   a dashed line indicates the attachment point to the PTM or ULM         moieties.

In additional embodiments, the linker group is optionally substituted (poly)ethyleneglycol having between 1 and about 100 ethylene glycol units, between about 1 and about 50 ethylene glycol units, between 1 and about 25 ethylene glycol units, between about 1 and 10 ethylene glycol units, between 1 and about 8 ethylene glycol units and 1 and 6 ethylene glycol units, between 2 and 4 ethylene glycol units, or optionally substituted alkyl groups interdispersed with optionally substituted, O, N, S, P or Si atoms. In certain embodiments, the linker is substituted with an aryl, phenyl, benzyl, alkyl, alkylene, or heterocycle group. In certain embodiments, the linker may be asymmetric or symmetrical.

In any of the embodiments of the compounds described herein, the linker group may be any suitable moiety as described herein. In one embodiment, the linker is a substituted or unsubstituted polyethylene glycol group ranging in size from about 1 to about 12 ethylene glycol units, between 1 and about 10 ethylene glycol units, about 2 about 6 ethylene glycol units, between about 2 and 5 ethylene glycol units, between about 2 and 4 ethylene glycol units.

In another embodiment, the present disclosure is directed to a compound which comprises a PTM group as described above, which binds to a target protein (e.g., FLT3) or polypeptide, which is ubiquitinated by an ubiquitin ligase and is chemically linked directly to the ULM group or through a linker moiety L, or PTM is alternatively a ULM′ group which is also an ubiquitin ligase binding moiety, which may be the same or different than the ULM group as described above and is linked directly to the ULM group directly or through the linker moiety; and L is a linker moiety as described above which may be present or absent and which chemically (covalently) links ULM to PTM, or a pharmaceutically acceptable salt, enantiomer, stereoisomer, solvate or polymorph thereof.

In certain embodiments, the linker group L is a group comprising one or more covalently connected structural units independently selected from the group consisting of:

The X is selected from the group consisting of O, N, S, S(O) and SO₂; n is integer from 1-5, 5; R^(L1) is hydrogen or alkyl,

is a mono- or bicyclic aryl or heteroaryl optionally substituted with 1-3 substituents selected from alkyl, halogen, haloalkyl, hydroxy, alkoxy or cyano;

is a mono- or bicyclic cycloalkyl or a heterocycloalkyl optionally substituted with 1-3 substituents selected from alkyl, halogen, haloalkyl, hydroxy, alkoxy or cyano; and the phenyl ring fragment can be optionally substituted with 1, 2 or 3 substituents selected from the group consisting of alkyl, halogen, haloalkyl, hydroxy, alkoxy and cyano. In an embodiment, the linker group L comprises up to 10 covalently connected structural units, as described above.

Although the ULM group and PTM group may be covalently linked to the linker group through any group which is appropriate and stable to the chemistry of the linker, in preferred aspects of the present disclosure, the linker is independently covalently bonded to the ULM group and the PTM group preferably through an amide, ester, thioester, keto group, carbamate (urethane), carbon or ether, each of which groups may be inserted anywhere on the ULM group and PTM group to provide maximum binding of the ULM group on the ubiquitin ligase and the PTM group on the target protein to be degraded. (It is noted that in certain aspects where the PTM group is a ULM group, the target protein for degradation may be the ubiquitin ligase itself). In certain preferred aspects, the linker may be linked to an optionally substituted alkyl, alkylene, alkene or alkyne group, an aryl group or a heterocyclic group on the ULM and/or PTM groups.

Exemplary PTMs

In preferred aspects of the disclosure, the PTM group is a group, which binds to target proteins. Targets of the PTM group are numerous in kind and are selected from proteins that are expressed in a cell such that at least a portion of the sequences is found in the cell and may bind to a PTM group. The term “protein” includes oligopeptides and polypeptide sequences of sufficient length that they can bind to a PTM group according to the present disclosure. Any protein in a eukaryotic system or a microbial system, including a virus, bacteria or fungus, as otherwise described herein, are targets for ubiquitination mediated by the compounds according to the present disclosure. Preferably, the target protein is FLT3 or mutants thereof.

PTM groups according to the present disclosure include, for example, any moiety which binds to FLT3. The compositions described below exemplify some of the members of small molecule target protein binding moieties. Such small molecule target protein binding moieties also include pharmaceutically acceptable salts, enantiomers, solvates and polymorphs of these compositions, as well as other small molecules that may target a protein of interest. These binding moieties are linked to the ubiquitin ligase binding moiety preferably through a linker in order to present a target protein (to which the protein target moiety is bound) in proximity to the ubiquitin ligase for ubiquitination and degradation.

Any protein, which can bind to a protein target moiety or PTM group and acted on or degraded by an ubiquitin ligase is a target protein according to the present disclosure. In general, target proteins may include, for example, tyrosine kinases. Proteins of interest can include proteins from eurkaryotes including humans as targets for drug therapy, and other animals, including domesticated animals, among numerous others. The present disclosure may be used to treat a number of disease states and/or conditions, including any disease state and/or condition in which FLT3 is dysregulated and where a patient would benefit from the degradation of FLT3.

In an additional aspect, the description provides therapeutic compositions comprising an effective amount of a compound as described herein or salt form thereof, and a pharmaceutically acceptable carrier, additive or excipient, and optionally an additional bioactive agent. The therapeutic compositions modulate protein degradation in a patient or subject, for example, an animal such as a human, and can be used for treating or ameliorating disease states or conditions which are modulated through the degraded protein. In certain embodiments, the therapeutic compositions as described herein may be used to effectuate the degradation of proteins of interest for the treatment or amelioration of a disease, e.g., cancer. In certain additional embodiments, the disease is acute myeloid leukemia (AML), acute promelocytic leukemia (APL), B and T cell acute lymphoblastic leukemia (ALL), chronic melogenous leukemia (CML), and myelodysplasia (MDS).

In alternative aspects, the present disclosure relates to a method for treating a disease state or ameliorating the symptoms of a disease or condition in a subject in need thereof by degrading a protein or polypeptide through which a disease state or condition is modulated comprising administering to said patient or subject an effective amount, e.g., a therapeutically effective amount, of at least one compound as described hereinabove, optionally in combination with a pharmaceutically acceptable carrier, additive or excipient, and optionally an additional bioactive agent, wherein the composition is effective for treating or ameliorating the disease or disorder or symptom thereof in the subject. The method according to the present disclosure may be used to treat a large number of disease states or conditions including cancer or other neoplasias, by virtue of the administration of effective amounts of at least one compound described herein. The disease state or condition may be a disease caused by a microbial agent or other exogenous agent such as a virus, bacteria, fungus, protozoa or other microbe or may be a disease state, which is caused by overexpression of a protein, which leads to a disease state and/or condition.

In another aspect, the description provides methods for identifying the effects of the degradation of proteins of interest in a biological system using compounds according to the present disclosure.

The term “target protein” is used to describe a protein or polypeptide, which is a target for binding to a compound according to the present disclosure and degradation by ubiquitin ligase hereunder. Such small molecule target protein binding moieties also include pharmaceutically acceptable salts, enantiomers, solvates and polymorphs of these compositions, as well as other small molecules that may target a protein of interest. These binding moieties are linked to at least one ULM group (e.g. VLM, CLM, ILM, and/or MLM) through at least one linker group L.

Target proteins, which may be bound to the protein target moiety and degraded by the ligase to which the ubiquitin ligase binding moiety is bound, include any protein or peptide, including fragments thereof, analogues thereof, and/or homologues thereof. Target proteins include proteins and peptides having any biological function or activity including receptors, such as cytokine receptors such as FLT3. The target proteins may be used in screens that identify compound moieties which bind to the protein and by incorporation of the moiety into compounds according to the present disclosure, the level of activity of the protein may be altered for therapeutic end result.

The term “protein target moiety” or PTM is used to describe a small molecule which binds to a target protein or other protein or polypeptide of interest and places/presents that protein or polypeptide in proximity to an ubiquitin ligase such that degradation of the protein or polypeptide by ubiquitin ligase may occur. Non-limiting examples of small molecule target protein binding moieties include FLT3, among numerous others. The compositions described below exemplify some of the members of the small molecule target proteins. An exemplary protein target moiety according to the present disclosure includes FLT3.

The compositions described below exemplify some of the members of these types of small molecule target protein binding moieties. Such small molecule target protein binding moieties also include pharmaceutically acceptable salts, enantiomers, solvates and polymorphs of these compositions, as well as other small molecules that may target a protein of interest. References which are cited herein below are incorporated by reference herein in their entirety.

In an embodiment, the PTM is represented by Formula PTM-I or Formula PTM-II (which correspond to Formula I and Formula II from U.S. Patent Application Publication No. 2006/0281768 A1, which is incorporated herein in its entirety for all purposes):

or N-oxides thereof, wherein:

q of PTM-I or PTM-II is 0, 1 or 2;

p of PTM-I or PTM-II is 0 or 1;

Q of PTM-I or PTM-II is NH, N(alkyl), 0, 1 or a direct bond;

X of PTM-I or PTM-II is N or CH;

Z of PTM-I or PTM-II is NH, N(alkyl), or CH2;

B of PTM-I or PTM-II is aryl (wherein said aryl is preferably phenyl), cyclopentadienyl, cycloalkyl (wherein said cycloalkyl is preferably cyclopentanyl, cyclohexanyl, cyclopentenyl or cyclohexenyl), heteroaryl (wherein said heteroaryl is preferably pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl, pyranyl, thiopyranyl, pyridinyl, pyrimidinyl, pyrazinyl, pyridinyl-N-oxide, or pyrrolyl-N-oxide, and most preferably pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl, pyridinyl, pyrimidinyl, or pyrazinyl), or a nine to ten membered benzo-fused heteroaryl (wherein said nine to ten membered benzo-fused heteroaryl is preferably benzothiazolyl, benzooxazolyl, benzoimidazolyl, benzofuranyl, indolyl, quinolinyl, isoquinolinyl, or benzo [b]thiophenyl);

R₁ is H,

wherein n is 1, 2, 3 or 4;

R_(a) of PTM-I or PTM-II is hydrogen, heteroaryl optionally substituted with R₅ (wherein said heteroaryl is preferably pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl, pyranyl, thiopyranyl, pyridinyl, pyrimidinyl, triazolyl, pyrazinyl, pyridinyl-N-oxide, or pyrrolyl-N-oxide, and most preferably pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl, pyridinyl, pyrimidinyl, triazolyl, or pyrazinyl), hydroxyl, alkylamino, dialkylamino, oxazolidinonyl optionally substituted with R₅, pyrrolidinonyl optionally substituted with R₅, piperidinonyl optionally substituted with R₅, cyclic heterodionyl optionally substituted with R₅, heterocyclyl optionally substituted with R₅ (wherein said heterocyclyl is preferably pyrrolidinyl, tetrahydrofuranyl, tetrahydrothiophenyl, imidazolidinyl, thiazolidinyl, oxazolidinyl, tetrahydropyranyl, tetrahydrothiopyranyl, thiomorphlinyl, thiomorpholinyl-1, 1-dioxide, piperidinyl, morpholinyl or piperazinyl), —COOR_(y), —CONR_(w)R_(x), —N(R_(y))CON(R_(w))(R_(x)), N(R_(w))C(O)OR_(x), —N(R_(w))COR_(y), —SR_(y), —SOR_(y), —SO₂R_(y), —NR_(w)SO₂R_(y), —NR_(w)SO₂R_(x), SO₃R_(y), or —OSO₂NR_(w)R_(x);

R_(bb) of PTM-I or PTM-II is hydrogen, halogen, aryl, heteroaryl, or heterocyclyl;

R₅ of PTM-I or PTM-II is one, two, or three substituents independently selected from: halogen, cyano, trifluoromethyl, amino, hydroxyl, alkoxy, —C(O)alkyl, —SO₂alkyl, C(O)N(alkyl)₂, alkyl, —C(₁₋₄)alkyl-OH, or alkylamino;

R_(w) and R_(x) of PTM-I or PTM-II are independently selected from: hydrogen, alkyl, alkenyl, aralkyl (wherein the aryl portion of said aralkyl is preferrably phenyl), or heteroaralkyl (wherein the heteroaryl portion of said heteroaralkyl is preferably pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl, pyranyl, thiopyranyl, pyridinyl, pyrimidinyl, pyrazinyl, pyridinyl-N-oxide, or pyrrolyl-N-oxide, and most preferably pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl, pyridinyl, pyrimidinyl, or pyrazinyl), or R_(w) and R_(x) may optionally be taken together to form a 5 to 7 membered ring, optionally containing a heteromoiety selected from: O, NH, N(alkyl), SO₂, SO, or S, preferably selected from the group consisting of:

R_(y) of PTM-I or PTM-II is selected from: hydrogen, alkyl, alkenyl, cycloalkyl (wherein said cycloalkyl is preferably cyclopentanyl or cyclohexanyl), aryl (wherein said aryl is preferably phenyl), aralkyl (wherein the aryl portion of said aralkyl is preferably phenyl), heteroaralkyl (wherein the heteroaryl portion of said heteroaralkyl is preferably pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl, pyranyl, thiopyranyl, pyridinyl, pyrimidinyl, pyrazinyl, pyridinyl-N-oxide, or pyrrolyl-N-oxide, and most preferably pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl, pyridinyl, pyrimidinyl, or pyrazinyl), or heteroaryl (wherein said heteroaryl is preferably pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl, pyranyl, thiopyranyl, pyridinyl, pyrimidinyl, pyrazinyl, pyridinyl-N-oxide, or pyrrolyl-N-oxide, and most preferably pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl, pyridinyl, pyrimidinyl, or pyrazinyl);

R₃ of PTM-I or PTM-II is one or more substituents, optionally present, and independently selected from: alkyl, alkoxy, halogen, alkoxyether, hydroxyl, thio, nitro, cycloalkyl optionally substituted with R4 (wherein said cycloalkyl is preferably cyclopentanyl or cyclohexanyl), heteroaryl optionally substituted with R4 (wherein said heteroaryl is preferably pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl, pyranyl, thiopyranyl, pyridinyl, pyrimidinyl, pyrazinyl, pyridinyl-N-oxide, or pyrrolyl-N-oxide; and most preferably pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl, pyridinyl, pyrimidinyl, or pyrazinyl), alkylamino, heterocyclyl optionally substituted with R4 (wherein said heterocyclyl is preferably azapenyl, pyrrolidinyl, tetrahydrofuranyl, tetrahydrothiophenyl, imidazolidinyl, thiazolidinyl, oxazolidinyl, tetrahydropyranyl, tetrahydrothiopyranyl, piperidinyl, morpholinyl, or piperazinyl), partially unsaturated heterocyclyl optionally substituted with R₄, (wherein said partially unsaturated heterocyclyl is preferably tetrahydropyridinyl. tetrahydropyrazinyl, dihydrofuranyl, dihydrooxazinyl, dihydropyrrolyl, or dihydroimidazolyl), —O(cycloalkyl), pyrrolidinone optionally substituted with R₄, phenoxy optionally substituted with R₄, —CN, —OCHF₂, OCF₃, —CF₃, halogenated alkyl, heteroaryloxy optionally substituted with R₄, dialkylamino, NHSO₂alkyl, thioalkyl, or —SO₂alkyl; wherein R4 is independently selected from: halogen, cyano, trifluoromethyl, amino, hydroxyl, alkoxy, —C(O)alkyl, —CO₂alkyl, —SO₂alkyl, C(O)N(alkyl)₂, alkyl, or alkylamino; and

the PTM-I or PTM-II is covalently joined to a ULM, a chemical linker group (L), a CLM, an ILM, a VLM, MLM, a ULM′, a CLM′, a ILM′, a VLM′, a MLM′, or combination thereof.

In any aspect or embodiment described herein, the PTM-I or PTM-II is covalently joined to a ULM, a chemical linker group (L), a CLM, an ILM, a VLM, MLM, a ULM′, a CLM′, a ILM′, a VLM′, a MLM′, or combination thereof via an R group (e.g., R¹, R³, R⁴, R⁵, R^(a), R^(bb), R^(w), R^(x), or R^(y)).

In certain embodiments, the N-oxides of PTM-I and PTM-II are present on one or more of: N-1 or N-3 (when X-3 is N).

In other preferred embodiments, the PTM of Formula PTM-I and Formula PTM-II include at least one of the following:

q of PTM-I or PTM-II is 1 or 2;

p of PTM-I or PTM-II is 0 or 1;

Q of PTM-I or PTM-II is NH, N(alkyl), 0, or a direct bond;

X of PTM-I or PTM-II is N;

Z of PTM-I or PTM-II is NH, N(alkyl), or CH₂;

B of PTM-I or PTM-II is aryl or heteroaryl;

R₁ of PTM-I or PTM-II is:

wherein n of PTM-I or PTM-II is 1, 2, 3 or 4;

R_(a) of PTM-I or PTM-II is hydrogen, heteroaryl optionally substituted with R₅, hydroxyl, alkylamino, dialkylamino, oxazolidinonyl optionally substituted with R₅, pyrrolidinonyl optionally substituted with R₅, piperidinonyl optionally substituted with R₅, cyclic heterodionyl optionally substituted with R₅, heterocyclyl optionally substituted with R₅, COOR_(y), —CONR_(w)R_(X), —N(R_(y))CON(R_(w))(R_(x)), —N(R_(w))C(O)OR_(x), —N(R_(w))COR_(y), —SR_(y), SOR_(y), —SO₂R_(y), —NR_(w)SO₂R_(y), —NR_(w)SO₂R_(x), —SO₃R_(y), or —OSO₂NR_(w)R_(x);

R_(bb) of PTM-I or PTM-II is hydrogen, halogen, aryl, heteroaryl, or heterocyclyl;

R₅ of PTM-I or PTM-II is one, two, or three substituents independently selected from: halogen, cyano, trifluoromethyl, amino, hydroxyl, alkoxy, —C(O)alkyl, —SO₂alkyl, C(O)N(alkyl)₂, alkyl, —C₍₁₋₄₎alkyl-OH, or alkylamino;

R_(w) and R_(x) of PTM-I or PTM-II are independently selected from: hydrogen, alkyl, alkenyl, aralkyl, or heteroaralkyl, or R_(w) and R_(x) may optionally be taken together to form a 5 to 7 membered ring, optionally containing a heteromoiety selected from O, NH, N(alkyl), SO₂, SO, or S;

R_(y) of PTM-I or PTM-II is selected from: hydrogen, alkyl, alkenyl, cycloalkyl, aryl, aralkyl, heteroaralkyl, or heteroaryl; and

R₃ of PTM-I or PTM-II is one or more substituents, optionally present, and independently selected from: alkyl, alkoxy, halogen, alkoxyether, hydroxyl, thio, nitro, cycloalkyl optionally substituted with R₄, heteroaryl optionally substituted with R₄, alkylamino, heterocyclyl optionally substituted with R₄, partially unsaturated heterocyclyl optionally substituted with R₄, —O(cycloalkyl), pyrrolidinone optionally substituted with R₄, phenoxy optionally substituted with R₄, —CN, —OCHF₂, —OCF₃, —CF₃, halogenated alkyl, heteroaryloxy optionally substituted with R₄, dialkylamino, —NHSO₂alkyl, thioalkyl, or SO₂alkyl; wherein R4 is independently selected from: halogen, cyano, trifluoromethyl, amino, hydroxyl, alkoxy, —C(O)alkyl, —CO₂alkyl, —SO₂alkyl, —C(O)N(alkyl)₂, alkyl, or alkylamino.

In additional embodiments, the PTM of Formula PTM-I and PTM-II comprise:

q of PTM-I or PTM-II is 1 or 2;

p of PTM-I or PTM-II is 0 or 1;

Q of PTM-I or PTM-II is NH, 0, or a direct bond;

X of PTM-I or PTM-II is N;

Z of PTM-I or PTM-II is NH or CH₂;

B of PTM-I or PTM-II is aryl or heteroaryl;

R₁ of PTM-I or PTM-II is:

wherein n of PTM-I or PTM-II is 1, 2, 3 or 4;

R_(a) of PTM-I or PTM-II is hydrogen, heteroaryl optionally substituted with R₅, hydroxyl, alkylamino, dialkylamino, oxazolidinonyl optionally substituted with R₅, pyrrolidinonyl optionally substituted with R₅, piperidinonyl optionally substituted with R₅, cyclic heterodionyl optionally substituted with R₅, heterocyclyl optionally substituted with R₅, COOR_(y), —CONR_(w)R_(X), —N(R_(y))CON(R_(w))(R_(x)), —N(R_(w))C(O)OR_(x), —N(R_(w))COR_(y), —SR_(y), SOR_(y), —SO₂R_(y), —NR_(w)SO₂R_(y), —NR_(w)SO₂R_(x), —SO₃R_(y), or —OSO₂NRR_(x);

R_(bb) of PTM-I or PTM-II is hydrogen, halogen, aryl, heteroaryl, or heterocyclyl;

R₅ of PTM-I or PTM-II is one, two, or three substituents independently selected from: halogen, cyano, trifluoromethyl, amino, hydroxyl, alkoxy, —C(O)alkyl, —SO₂alkyl, C(O)N(alkyl)₂, alkyl, —C₍₁₋₄₎alkyl-OH, or alkylamino;

R_(w) and R_(x) of PTM-I or PTM-II are independently selected from: hydrogen, alkyl, alkenyl, aralkyl, or heteroaralkyl, or R_(w) and R_(x) may optionally be taken together to form a 5 to 7 membered ring, optionally containing a heteromoiety selected from O, NH, N(alkyl), SO₂, SO, or S;

R_(y) of PTM-I or PTM-II is selected from: hydrogen, alkyl, alkenyl, cycloalkyl, aryl, aralkyl, heteroaralkyl, or heteroaryl; and

R₃ of PTM-I or PTM-II is one or more substituents, optionally present, and independently selected from: alkyl, alkoxy, halogen, alkoxyether, cycloalkyl optionally substituted with R₄, alkylamino, heterocyclyl optionally substituted with R₄, —O(cycloalkyl), phenoxy optionally substituted with R₄, dialkylamino, or —SO₂alkyl; wherein R₄ is independently selected from: halogen, cyano, trifluoromethyl, amino, hydroxyl, alkoxy, C(O)alkyl, —CO₂alkyl, —SO₂alkyl, —C(O)N(alkyl)₂, alkyl, or alkylamino.

In yet further embodiments, the PTM of Formula PTM-I and PTM-II comprises:

q of PTM-I or PTM-II is 1 or 2;

p of PTM-I or PTM-II is 0 or 1;

Q of PTM-I or PTM-II is NH, 0, or a direct bond;

Z of PTM-I or PTM-II is NH or CH₂;

B of PTM-I or PTM-II is aryl or heteroaryl;

X of PTM-I or PTM-II is N;

R₁ of PTM-I or PTM-II is:

wherein n of PTM-I or PTM-II is 1, 2, 3 or 4;

R_(a) of PTM-I or PTM-II is hydrogen, hydroxyl, alkylamino, dialkylamino, heterocyclyl optionally substituted with R₅, —CONR_(w)R_(x), —N(R_(y))CON(R_(w))(R_(x)), N(R_(w))C(O)OR_(x), —N(R_(w))COR_(y), —SO₂R_(y), —NR_(w)SO₂R_(y), or —NR_(w)SO₂R_(x);

R_(bb) of PTM-I or PTM-II is hydrogen, halogen, aryl, heteroaryl, or heterocyclyl;

R₅ of PTM-I or PTM-II is one, two, or three substituents independently selected from: halogen, cyano, trifluoromethyl, amino, hydroxyl, alkoxy, —C(O)alkyl, —SO₂alkyl, C(O)N(alkyl)₂, alkyl, —C₍₁₄₎alkyl-OH, or alkylamino;

R_(w) and R_(x) of PTM-I or PTM-II are independently selected from: hydrogen, alkyl, alkenyl, aralkyl, or heteroaralkyl, or R_(w) and R_(x) may optionally be taken together to form a 5 to 7 membered ring, optionally containing a heteromoiety selected from O, NH, N(alkyl), SO₂, SO, or S;

R_(y) of PTM-I or PTM-II is selected from: hydrogen, alkyl, alkenyl, cycloalkyl, aryl, aralkyl, heteroaralkyl, or heteroaryl; and

R₃ of PTM-I or PTM-II is one substituentselected from: alkyl, alkoxy, halogen, alkoxyether, cycloalkyl optionally substituted with R₄, alkylamino, heterocyclyl optionally substituted with R₄, —O(cycloalkyl), phenoxy optionally substituted with R₄, dialkylamino, or

SO₂alkyl; wherein R₄ is independently selected from: halogen, cyano, trifluoromethyl, amino, hydroxyl, alkoxy, —C(O)alkyl, —CO₂alkyl, —SO₂alkyl, —C(O)N(alkyl)₂, alkyl, or alkylamino.

In certain embodiments, the PTM of Formula PTM-I or PTM-II comprises:

q of PTM-I or PTM-II is 1 or 2;

p of PTM-I or PTM-II is 0 or 1;

Q of PTM-I or PTM-II is NH, 0, or a direct bond;

Z of PTM-I or PTM-II is NH or CH₂;

B of PTM-I or PTM-II is phenyl or pyridyl;

X of PTM-I or PTM-II is N;

R₁ of PTM-I or PTM-II is:

wherein R_(bb) of PTM-I or PTM-II is hydrogen, halogen, aryl, or heteroaryl;

R₃ of PTM-I or PTM-II is one substituent selected from: alkyl, alkoxy, heterocyclyl, —O(cycloalkyl), phenoxy, or dialkylamino.

In a particular embodiment, the PTM of Formula PTM-I or PTM-II comprises:

q of PTM-I or PTM-II is 1 or 2;

p of PTM-I or PTM-II is 0;

Q i of PTM-I or PTM-II s NH or O;

Z of PTM-I or PTM-II is NH;

B of PTM-I or PTM-II is phenyl or pyridyl;

X of PTM-I or PTM-II is N;

R₁ of PTM-I or PTM-II is:

wherein R_(bb) of PTM-I or PTM-II is hydrogen;

R₃ of PTM-I or PTM-II is one substituent selected from: alkyl, —O(cycloalkyl), phenoxy, or dialkylamino.

The compounds of Formula PTM-I and Formula PTM-II may be converted to the corresponding N-oxide forms following art-known procedures for converting a trivalent nitrogen into its N-oxide form. For example, the N-oxidation reaction may be carried out by reacting the starting material of Formula PTM-I or Formula PTM-II with an appropriate organic or inorganic peroxide (for example, hydrogen peroxide, alkali metal or earth alkaline metal peroxides, such as sodium peroxide, potassium peroxide; appropriate organic peroxides may comprise peroxy acids such as, benzenecarboperoxoic acid or halo substituted benzenecarboperoxoic acid [such as 3-chlorobenzenecarboperoxoic acid], peroxoalkanoic acids [such as peroxoacetic acid], alkylhydroperoxides [such as tbutyl hydro-peroxide]). Suitable solvents include, for example, water, lower alcohols (such as ethanol and the like), hydrocarbons (such as toluene), ketones (such as 2-butanone), halogenated hydrocarbons [such as dichloromethane], and mixtures of such solvents.

In certain embodiments, the PTM is selected from;

In an embodiment, the PTM is represented by Formula PTM-III (which correspond to Formula I from U.S. Patent Application Publication No. 2007/0149572 A1, which is incorporated herein in its entirety for all purposes):

wherein:

A of PTM-III is selected from phenyl or pyridyl, either of which may be substituted with one of chloro, fluoro, methyl, —N₃, —NH₂, NH(alkyl), —N(alkyl)₂, S(alkyl), —O(alkyl), or 4-aminophenyl;

W of PTM-III is selected from pyrrolyl (including 1H-pyrrol-2-yl), imidazolyl, (including 1H-imidazol-2-yl), isoxazolyl, oxazolyl, 1,2,4 triazolyl, or furanyl (including furan-2-yl), any of which may be connected through any carbon atom, wherein the pyrrolyl, imidazolyl, isoxazolyl, oxazolyl, 1,2,4 triazolyl, or furanyl may contain one —Cl, —CN, —NO₂, —OMe, or —CF₃ substitution, connected to any other carbon;

R² of PTM-III is selected from cycloalkyl (including cyclohexenyl, cyclopentenyl), thiophenyl, dihydrosulfonopyranyl, phenyl, furanyl, tetrahydropyridyl, or dihydropyranyl, any of which may be independently substituted with one or two of each of the following: chloro, fluoro, and C₍₁₋₃₎alkyl (including 4,4-dimethyl cyclohexenyl, 4-methyl cyclohexenyl, 2-methyl thiophenyl, 3-methyl thiophenyl), with the proviso that tetrahydropyridyl is connected to the ring A through a carbon-carbon bond;

X of PTM-III is selected from:

Z of PTM-III is CH or N;

D¹ and D² of PTM-III are each hydrogen or taken together form a double bond to an oxygen;

D³ and D⁴ of PTM-III are each hydrogen or taken together form a double bond to an oxygen;

D⁵ of PTM-III is selected from hydrogen or —CH₃, wherein said —CH₃ may be relatively oriented syn or anti;

R_(a) and R_(b) of PTM-III are independently selected from hydrogen, cycloalkyl, haloalkyl, aryl, aralkyl, heteroaryl, or heteroaralkyl;

E of PTM-III is selected from N, S, O, SO or SO₂, with the proviso that E may not be N if the following three conditions are simultaneously met: Q_(a) is absent, Q_(b) is absent, and R³ is an amino group or cyclic amino radical wherein the point of attachment to E is N;

Q_(a) of PTM-III is selected from being absent, —CH₂—, —CH₂CH₂—, or C(O);

Q_(b) of PTM-III is selected from being absent, —NH—, —CH₂—, —CH₂CH₂—, or C(O), with the proviso that Q_(b) may not be C(O) if Q_(a) is C(O), and further provided that Q_(b) may not be —NH— if E is N and Q_(a) is absent, further provided that Q_(b) may not be —NH— if R³ is an amino group or cyclic amino radical wherein the point of attachment to Q_(b) is N;

R³ of PTM-III is selected from hydrogen, phenyl, hydroxyalkylamino (including 2-hydroxy ethylamino), (hydroxyalkyl)₂amino, hydroxyalkyl(alkyl)amino (including 1-hydroxyeth-2-yl(methyl)amino), alkylamino (including methylamino), aminoalkyl (including 2-amino isopropyl), dihydroxyalkyl (including 1,3-dihydroxy isopropyl, 1,2-dihydroxy ethyl), alkoxy (including methoxy), dialkylamino (including dimethylamino), hydroxyalkyl (including 1-hydroxyeth-2-yl), —COOH, —CONH₂, —CN, —SO₂-alkyl-R⁴ (including —SO₂CH₃), NH₂, or a 5 or six membered ring which contains at least one heteroatom N and may optionally contain an additional heteromoiety selected from S, SO₂, N, and O, and the 5 or 6 membered ring may be saturated, partially unsaturated or aromatic (including piperidinyl, morpholinyl, imidazolyl, and pyridyl) wherein aromatic nitrogen in the 5 or 6 membered ring may be present as N-oxide (including pyridyl N-oxide), and the 5 or 6 membered ring may be optionally substituted with methyl, halogen, alkylamino, or alkoxy (including 1 methyl imidazolyl); R³ may also be absent, with the proviso that R³ is not absent when E is nitrogen;

R⁴ of PTM-III is selected from hydrogen, —OH, alkoxy, carboxy, carboxamido, or carbamoyl; and

the PTM-III is covalently joined to a ULM, a chemical linker group (L), a CLM, an ILM, a VLM, MLM, a ULM′, a CLM′, a ILM′, a VLM′, a MLM′, or combination thereof.

In any aspect or embodiment described herein, the PTM-I is covalently joined to a ULM, a chemical linker group (L), a CLM, an ILM, a VLM, MLM, a ULM′, a CLM′, a ILM′, a VLM′, a MLM′, or combination thereof via an R group or a D group (e.g., R², R³, D², D³, D⁴, or D⁵).

In any aspect or embodiment described herein, A of PTM-III is phenyl.

In any aspect or embodiments describe herein, W of PTM-III is furan-2-yl, 1H-pyrrol-2-yl, or 1H-imidazol-2-yl, any of which may be substituted at the 4 or 5 carbons with CN.

In any aspect or embodiment described herein, W of PTM-III is 3H-2-imidazolyl-4-carbonitrile or 5-cyano-1H-pyrrol-2-yl.

In any aspect or embodiment described herein, W of PTM-III is 3H-2-imidazolyl-4-carbonitrile.

In any aspect or embodiment described herein, R² of PTM-III is cycloalkyl (including cyclohexenyl, cyclopentenyl), which may substituted with one or two C₍₁₋₃₎alkyl (including 4,4-dimethyl cyclohexenyl, 4-methyl cyclohexenyl);

In any aspect or embodiment described herein, R² of PTM-III is cyclohexenyl, which may substituted with one or two C₍₁₋₃₎alkyl.

In any aspect or embodiment described herein, R² of PTM-III is cyclohexenyl, 4,4-dimethyl cyclohexenyl, or 4-methyl cyclohexenyl.

In any aspect or embodiment described herein, R² of PTM-III is cyclohexenyl.

In any aspect or embodiment described herein, X of PTM-III is

In any aspect or embodiment described herein, X of PTM-III is

In any aspect or embodiment described herein, Z of PTM-III is CH.

In any aspect or embodiment described herein, D¹ and D² of PTM-III are each hydrogen.

In any aspect or embodiment described herein, D³ and D⁴ of PTM-III are each hydrogen.

In any aspect or embodiment described herein, E of PTM-III is N, with the proviso that E may not be N if the following three conditions are simultaneously met: Q_(a) is absent, Q_(b) is absent, and R³ is an amino group or cyclic amino radical wherein the point of attachment to E is N.

In any aspect or embodiment described herein, Q_(a) of PTM-III is absent, CH₂CH₂—, or C(O).

In any aspect or embodiment described herein, Q_(a) of PTM-III is absent or C(O).

In any aspect or embodiment described herein, Q_(a) of PTM-III is C(O).

In any aspect or embodiment described herein, Q_(b) of PTM-III is absent, CH₂CH₂—, or C(O), with the proviso that Q_(b) may not be C(O) if Q_(a) is C(O).

In any aspect or embodiment described herein, Q_(b) of PTM-III is absent or C(O), with the proviso that Q_(b) may not be C(O) if Q_(a) is C(O).

In any aspect or embodiment described herein, R³ of PTM-III is hydrogen, phenyl, 2-hydroxy ethylamino, 1-hydroxyeth-2-yl(methyl)amino, methylamino, 2-amino isopropyl, 1,3-dihydroxy isopropyl, 1,2-dihydroxy ethyl, methoxy, dimethylamino, 1-hydroxyeth-2-yl, COOH, —CONH₂, —CN, —SO₂—, —SO₂CH₃), —NH₂, piperidinyl, morpholinyl, imidazolyl, pyridyl, pyridyl N-oxide), or 1 methyl imidazolyl.

In any aspect or embodiment described herein, R³ of PTM-III is alkylamino (including methylamino), dialkylamino (including dimethylamino), or —SO₂-alkyl-R⁴ (including —SO₂CH₃).

In any aspect or embodiment described herein, R³ of PTM-III is methylamino, dimethylamino, or —SO₂CH₃.

In any aspect or embodiment described herein, R³ of PTM-III is dimethylamino.

In any aspect or embodiment described herein, R⁴ of PTM-III is hydrogen.

In other preferred embodiments, the PTM of Formula PTM-III comprises:

A of PTM-III is phenyl which may be substituted with one of chloro, fluoro, and methyl;

W of PTM-III is pyrrolyl, imidazolyl, isoxazolyl, oxazolyl, 1,2,4 triazolyl, or furanyl any of which may be connected through any carbon atom, wherein the pyrrolyl, imidazolyl, isoxazolyl, oxazolyl, 1,2,4 triazolyl, or furanyl may contain one —Cl, —CN, —NO₂,

-   -   OMe, or —CF₃ substitution, connected to any other carbon;

R² of PTM-III is cycloalkyl, thiophenyl, dihydrosulfonopyranyl, phenyl, furanyl, tetrahydropyridyl, or dihydropyranyl, any of which may be independently substituted with one or two of each of the following: chloro, fluoro, and C₍₁₋₃₎alkyl, with the proviso that tetrahydropyridyl is connected to the ring A through a carbon-carbon bond;

X of PTM-III is

and is attached to the phenyl A ring para to the nitrogen substituent, as depicted in

Z of PTM-III is CH or N;

D¹ and D² of PTM-III are each hydrogen or taken together form a double bond to an oxygen;

D³ and D⁴ of PTM-III are hydrogen;

E of PTM-III is N or SO₂; with the proviso that E may not be N if the following three conditions are simultaneously met: Q_(a) is absent, Q_(b) is absent, and R³ is an amino group or cyclic amino radical wherein the point of attachment to E is N;

Q_(a) of PTM-III is absent, —CH₂—, —CH₂CH₂—, or C(O);

Q_(b) of PTM-III is absent, —NH—, —CH₂—, —CH₂CH₂—, or C(O), with the proviso that Q_(b) may not be C(O) if Q_(a) is C(O), and further provided that Q_(b) may not be —NH— if E is N and Q_(a) is absent, further provided that Q_(b) may not be —NH— if R³ is an amino group or cyclic amino radical wherein the point of attachment to Q_(b) is N; and

R³ of PTM-III is hydrogen, piperidinyl, alkylamino, dialkylamino, hydroxyalkylamino, (hydroxyalkyl)₂amino, imidazolyl, 1-methyl imidazolyl, pyridyl, pyridyl N-oxide, hydroxyalkyl, —COOH, —CONH₂, —CN, —SO₂CH₃, —NH₂, morpholinyl; R³ may also be absent, with the proviso that R³ is not absent when E is nitrogen.

In other preferred embodiment, the PTM of Formula PTM-III comprises:

A of PTM-III is phenyl;

W of PTM-III is pyrrolyl, imidazolyl, isoxazolyl, oxazolyl, or 1,2,4 triazolyl, any of which may be connected through any carbon atom, wherein the pyrrolyl, imidazolyl, isoxazolyl, oxazolyl, or 1,2,4 triazolyl, may contain one —Cl, —CN, —NO₂, —OMe, or —CF₃ substitution, connected to any other carbon;

R² of PTM-III is cycloalkyl, furanyl, or tetrahydropyridyl, any of which may be independently substituted with one or two of each of the substituents selected from the group consisting of chloro, fluoro, and C₍₁₋₃₎alkyl, with the proviso that tetrahydropyridyl must be connected to the ring A through a carbon-carbon bond.

X of PTM-III is

and is attached to the phenyl A ring para to the nitrogen substituent, as depicted in

Z of PTM-III is CH or N;

D¹ and D² of PTM-III are each hydrogen or taken together form a double bond to an oxygen;

D³ and D⁴ of PTM-III are hydrogen;

E of PTM-III is N or SO₂; with the proviso that E may not be N if the following three conditions are simultaneously met: Q_(a) is absent, Q_(b) is absent, and R³ is an amino group or cyclic amino radical wherein the point of attachment to E is N;

Q_(a) of PTM-III is absent, —CH₂—, —CH₂CH₂—, or C(O);

Q_(b) of PTM-III is absent, —NH—, —CH₂—, —CH₂CH₂—, or C(O), with the proviso that Q_(b) may not be C(O) if Q_(a) is C(O), and further provided that Q_(b) may not be —NH— if E is N and Q_(a) is absent, further provided that Q_(b) may not be —NH— if R³ is an amino group or cyclic amino radical wherein the point of attachment to Q_(b) is N; and

R³ of PTM-III is hydrogen, piperidinyl, alkylamino, dialkylamino, hydroxyalkylamino, (hydroxyalkyl)₂amino, imidazolyl, 1-methyl imidazolyl, pyridyl, pyridyl N-oxide, hydroxyalkyl, —COOH, —CONH₂, —CN, —SO₂CH₃, —NH₂, morpholinyl; R³ may also be absent, with the proviso that R³ is not absent when E is nitrogen.

In other preferred embodiments, the PTM of Formula PTM-III comprises:

A of PTM-III is phenyl;

W of PTM-III is pyrrolyl, imidazolyl, isoxazolyl, oxazolyl, or 1,2,4 triazolyl, any of which may be connected through any carbon atom, wherein the pyrrolyl, imidazolyl, isoxazolyl, oxazolyl, or 1,2,4 triazolyl, may contain one —Cl, —CN, —NO₂, —OMe, or —CF₃ substitution, connected to any other carbon;

R² of PTM-III is cycloalkyl, furanyl, or tetrahydropyridyl, any of which may be independently substituted with one or two of each of the substituents selected from the group consisting of chloro, fluoro, and C₍₁₋₃₎alkyl, with the proviso that tetrahydropyridyl must be connected to the ring A through a carbon-carbon bond;

X of PTM-III is

and is attached to the phenyl A ring para to the nitrogen substituent, as depicted in

Z of PTM-III is CH or N;

D¹ and D² of PTM-III are each hydrogen or taken together form a double bond to an oxygen;

D³ and D⁴ of PTM-III are hydrogen;

E of PTM-III is N; with the proviso that E may not be N if the following three conditions are simultaneously met: Q_(a) is absent, Q_(b) is absent, and R³ is an amino group or cyclic amino radical wherein the point of attachment to E is N;

Qa of PTM-III is absent, —CH₂—, —CH₂CH₂—, or C(O);

Q_(b) of PTM-III is absent, —NH—, —CH₂—, —CH₂CH₂—, or C(O), with the proviso that Q_(b) may not be C(O) if Q_(a) is C(O), and further provided that Q_(b) may not be —NH— if E is N and Q_(a) is absent, further provided that Q_(b) may not be —NH— if R³ is an amino group or cyclic amino radical wherein the point of attachment to Q_(b) is N; and

R³ of PTM-III is hydrogen, piperidinyl, alkylamino, dialkylamino, hydroxyalkylamino, (hydroxyalkyl)₂amino, imidazolyl, 1-methyl imidazolyl, hydroxyalkyl, COOH, —CONH₂, —CN, —SO₂CH₃, —NH₂, or morpholinyl.

In yet a further preferred embodiment, the PTM of Formula PTM-III comprises:

A of PTM-III is phenyl;

W of PTM-III is pyrrolyl, or imidazolyl, wherein the pyrrolyl, or imidazolyl, may contain one —Cl, —CN, —NO₂, —OMe, or —CF₃ substitution, connected to any other carbon;

R² of PTM-III is cycloalkyl, furanyl, or tetrahydropyridyl, any of which may be independently substituted with one or two of each of the substituents selected from the group consisting of chloro, fluoro, and C₍₁₋₃₎alkyl, with the proviso that tetrahydropyridyl must be connected to the ring A through a carbon-carbon bond;

X of PTM-III is

and is attached to the phenyl A ring para to the nitrogen substituent, as depicted in

Z of PTM-III is CH or N;

D¹ and D² of PTM-III are each hydrogen or taken together form a double bond to an oxygen;

D³ and D⁴ of PTM-III are hydrogen;

E of PTM-III is N; with the proviso that E may not be N if the following three conditions are simultaneously met: Q_(a) is absent, Q_(b) is absent, and R³ is an amino group or cyclic amino radical wherein the point of attachment to E is N;

Q_(a) of PTM-III is C(O);

Q_(b) of PTM-III is absent, —NH—, —CH₂—, —CH₂CH₂—, or C(O), with the proviso that Q_(b) may not be C(O) if Q_(a) is C(O), and further provided that Q_(b) may not be —NH— if E is N and Q_(a) is absent, further provided that Q_(b) may not be —NH— if R³ is an amino group or cyclic amino radical wherein the point of attachment to Q_(b) is N; and

R³ of PTM-III is hydrogen, piperidinyl, hydroxyalkylamino, (hydroxyalkyl)₂amino, alkylamino, dialkylamino, imidazolyl, 1-methyl imidazolyl, pyridyl, pyridyl N-oxide, hydroxyalkyl, —COOH, —CONH₂, —CN, —SO₂CH₃, —NH₂, or morpholinyl.

In some embodiments, the PTM of PTM-III is selected from the group consisting of: (PTM-III-1) 5-cyano-furan-2-carboxylic acid [4-(4-methyl-piperazin-1-yl)-2-(3-methyl-thiophen-2-yl)-phenyl]-amide, (PTM-III-2) 5-cyano-furan-2-carboxylic acid [4-(4-methyl-piperazin-1-yl)-2-(2-methyl-thiophen-3-yl)-phenyl]-amide, (PTM-III-3) 4-cyano-1H-imidazole-2-carboxylic acid [4-(1- acetyl-piperidin-4-yl)-2-(1,2,5,6-tetrahydro-pyridin-3-yl)-phenyl]-amide, (PTM-III-4) 4-cyano-1H-imidazole-2-carboxylic acid [2-cyclohex-1-enyl-4- (1,1-dioxo-hexahydro-1λ⁶-thiopyran-4-yl)-phenyl]-amide, (PTM-III-5) 5-cyano-furan-2-carboxylic acid [2-cyclohex-1-enyl-4- (4-methyl-piperazin-1-yl)-phenyl]-amide, (PTM-III-6) 5-cyano-furan-2-carboxylic acid [2-(3,6-dihydro-2H-pyran-4-yl)-4-(4-methyl-piperazin-1-yl)-phenyl]-amide, (PTM-III-7) 4-cyano-1H-imidazole-2-carboxylic acid [2-(1,1-dioxo-1,2,3,6-tetrahydro-1λ⁶-thiopyran-4-yl)-4-piperidin-4-yl-phenyl]-amide, (PTM-III-8) 4-cyano-1H-imidazole-2-carboxylic acid [4-(1- acetyl-piperidin-4-yl)-2-(1,1-dioxo-1,2,3,6-tetrahydro-1λ⁶-thiopyran-4-yl)-phenyl]-amide, (PTM-III-9) 5-cyano-furan-2-carboxylic acid [2′-methyl-5-(4-methyl-piperazin-1-yl)-biphenyl-2-yl]-amide, (PTM-III-10) 5-cyano-furan-2-carboxylic acid [2′-fluoro-5-(4-methyl-piperazin-1-yl)-biphenyl-2-yl]-amide, (PTM-III-11) (4-{4- [(4-cyano-1H-imidazole-2-carbonyl)-amino]-3-cyclohex-1-enyl-phenyl}-piperidin-1-yl)- acetic acid, (PTM-III-12) 4-cyano-1H-imidazole-2-carboxylic acid [4-(1-carbamoylmethyl-piperidin-4-yl)-2-cyclohex-1-enyl-phenyl]-amide, (PTM-III-13) 4-cyano-1H-imidazole-2-carboxylic acid [2-(4-methyl-cyclohex-1-enyl)-4-piperidin-4-yl-phenyl]-amide, (PTM-III-14) 4-cyano-1H-imidazole-2-carboxylic acid {2-cyclohex-1-enyl-4-[1-(2-hydroxy-ethyl)-piperidin-4-yl]-phenyl}-amide, (PTM-III-15) 4-cyano-1H-imidazole-2-carboxylic acid [2-(4-methyl-cyclohex-1-enyl)-4-(1-pyridin-2-ylmethyl-piperidin-4-yl)-phenyl]-amide, (PTM-III-16) 4-cyano-1H-imidazole-2-carboxylic acid {2-cyclohex-1-enyl-4-[1-(2-hydroxy-1-hydroxymethyl-ethyl)-piperidin-4-yl]-phenyl}-amide, (PTM-III-17) 4-cyano-1H-imidazole-2-carboxylic acid {4-[11-(2-cyano-ethyl)-piperidin-4-yl]-2-cyclohex-1-enyl-phenyl}-amide, (PTM-III-18) 4-cyano-1H-imidazole-2-carboxylic acid {2-cyclohex-1-enyl-4-[1-(2-morpholin-4-yl-ethyl)-piperidin-4-yl]-phenyl}-amide, (PTM-III-19) 4-cyano-1H-imidazole-2-carboxylic acid (2-cyclohex-1-enyl-4-piperidin-4-yl-phenyl)-amide, (PTM-III-20) 4-cyano-1H-imidazole-2-carboxylic acid {2-cyclohex-1-enyl-4-[1-(2-methanesulfonyl-ethyl)-piperidin-4-yl]-phenyl}-amide, (PTM-III-21) 4-cyano-1H-imidazole-2-carboxylic acid [2-cyclohex-1-enyl-4-(1-pyridin-2-ylmethyl-piperidin-4-yl)-phenyl]-amide, (PTM-III-22) 4-cyano-1H-imidazole-2-carboxylic acid {2-cyclopent-1-enyl-4-[1-(1-methyl-1H-imidazol-2-ylmethyl)-piperidin-4-yl]-phenyl}-amide, (PTM-III-23) 4-cyano-1H-imidazole-2-carboxylic acid (2-cyclopent-1-enyl-4-piperidin-4-yl-phenyl)-amide, (PTM-III-24) 4-cyano-1H-pyrrole-2-carboxylic acid (2-cyclohex-1-enyl-4-piperidin-4-yl-phenyl)-amide, (PTM-III-25) 4-cyano-1H-imidazole-2-carboxylic acid [2-cyclohex-1-enyl-4-(3,4,5,6-tetrahydro-2H-[1,2′]bipyridinyl-4-yl)-phenyl]-amide, (PTM-III-26) 4-cyano-1H-pyrrole-2-carboxylic acid [4-(1-acetyl-piperidin-4-yl)-2-cyclohex-1-enyl-phenyl]-amide, (PTM-III-27) 4-cyano-1H-imidazole-2-carboxylic acid {2-cyclohex-1-enyl-4-[1-(1-oxy-pyridine-3-carbonyl)-piperidin-4-yl]-phenyl}-amide, (PTM-III-28) 4-cyano-1H-imidazole-2-carboxylic acid {2-cyclohex-1-enyl-4-[1-(1-oxy-pyridine-4-carbonyl)-piperidin-4-yl]-phenyl}-amide, (PTM-III-29) 4-cyano-1H-imidazole-2-carboxylic acid {2-cyclohex-1-enyl-4-[1-(3-morpholin-4-yl-propionyl)-piperidin-4-yl]-phenyl}-amide, (PTM-III-30) 4-{4-[(4-cyano-1H-imidazole-2-carbonyl)-amino]-3-cyclohex-1-enyl-phenyl}-piperidine-1-carboxylic acid amide, (PTM-III-31) 4-cyano-1H-imidazole-2-carboxylic acid {2-cyclohex-1-enyl-4-[1-(pyridine-3-carbonyl)-piperidin-4-yl]-phenyl}-amide, (PTM-III-32) 4-{4-[(4-cyano-1H-imidazole-2-carbonyl)-amino]-3-cyclohex-1-enyl-phenyl}-piperidine-1-carboxylic acid (2-hydroxy-ethyl)-amide, (PTM-III-33) 4-cyano-1H-imidazole-2-carboxylic acid {2-cyclohex-1-enyl-4-[1-(2-3H-imidazol-4-yl-acetyl)-piperidin-4-yl]-phenyl}-amide, (PTM-III-34) 4-cyano-1H-imidazole-2-carboxylic acid {2-cyclohex-1-enyl-4-[1-(2-pyridin-4-yl-acetyl)-piperidin-4-yl]-phenyl}-amide, (PTM-III-35) 4-cyano-1H-imidazole-2-carboxylic acid (2-cyclohex-1-enyl-4-{1-[2-(1-methyl-1H-imidazol-4-yl)-acetyl]-piperidin-4-yl}-phenyl)-amide, (PTM-III-36) 4-cyano-1H-imidazole-2-carboxylic acid {2-cyclohex-1-enyl-4-[1-(2-pyridin-3-yl-acetyl)-piperidin-4-yl]-phenyl}-amide, (PTM-III-37) 4-cyano-1H-imidazole-2-carboxylic acid {2-cyclohex-1-enyl-4-[1-(2-methanesulfonyl-acetyl)-piperidin-4-yl]-phenyl}-amide, (PTM-III-38) 4-cyano-1H-imidazole-2-carboxylic acid {2-cyclohex-1-enyl-4-[1-(2-pyridin-2-yl-acetyl)-piperidin-4-yl]-phenyl}-amide, (PTM-III-39) 4-cyano-1H-imidazole-2-carboxylic acid [4-(1-acetyl-piperidin-4-yl)-2-cyclohex-1-enyl-phenyl]-amide, (PTM-III-40) 4-cyano-1H-imidazole-2-carboxylic acid [2-cyclohex-1-enyl-4-(1-{2-[(2-hydroxy-ethyl)-methyl-amino]-acetyl}-piperidin-4-yl)-phenyl]-amide, (PTM-III-41) 4-cyano-1H-imidazole-2-carboxylic acid {2-cyclohex-1-enyl-4-[1-(2-dimethylamino-acetyl)-piperidin-4-yl]-phenyl}-amide, (PTM-III-42) 4-cyano-1H-imidazole-2-carboxylic acid {2-cyclohex-1-enyl-4-[1-(2-morpholin-4-yl-acetyl)-piperidin-4-yl]-phenyl}-amide, (PTM-III-43) 4-Cyano-1H-imidazole-2-carboxylic acid {4-[1-(3-amino-3-methyl-butyryl)-piperidin-4-yl]-2-cyclohex-1-enyl-phenyl}-amide trifluoroacetic acid salt, (PTM-III-44) 4H-[1,2,4]-triazole-3-carboxylic acid (2-cyclohex-1-enyl-4-piperidin-4-yl-phenyl)-amide bis trifluoroacetic acid salt, (PTM-III-45) 5-Chloro-4H-[1,2,4]-triazole-3-carboxylic acid (2-cyclohex-1-enyl-4-piperidin-4-yl-phenyl)-amide trifluoroacetic acid salt, (PTM-III-46) 5-Cyano-1H-imidazole-2-carboxylic acid [2-cyclohex-1-enyl-4-(cis-2,6-dimethyl-piperidin-4-yl)-phenyl]-amide bis trifluoroacetic acid salt, (PTM-III-47) 5-cyano-1H-imidazole-2-carboxylic acid [2-cyclohex-1-enyl-4-(trans-2,6-dimethyl-piperidin-4-yl)-phenyl]-amide bis trifluoroacetic acid salt, (PTM-III-48) 5-Cyano-1H-imidazole-2-carboxylic acid {2-cyclohex-1-enyl-4- [1-(R)-(+)-(2,3-dihydroxy-propionyl)-piperidin-4-yl]-phenyl}-amide, (PTM-III-49) 5-Cyano-1H-imidazole-2-carboxylic acid [2-cyclohex-1-enyl-4-(1-methoxy-piperidin-4-yl)-phenyl]-amide trifluoroacetic acid salt, (PTM-III-50) 4-Cyano-1H-imidazole-2-carboxylic acid [6-(4,4-dimethyl-cyclohex-1-enyl)-1′,2′,3′,4′,5′,6′-hexahydro-[2,4′]bipyridinyl-5-yl]-amide trifluoroacetic acid salt, (PTM-III-51) 5-Cyano-1H-imidazole-2-carboxylic acid {4-[1-(2-amino-2-methyl-propionyl)-piperidin-4- yl]-2-cyclohex-1-enyl-phenyl}-amide trifluoroacetic acid salt, (PTM-III-52) 5-Cyano-1H-imidazole-2-carboxylic acid [6-cyclohex-1-enyl-1′-(2-methanesulfonyl-ethyl)-1′,2′,3′,4′,5′,6′-hexahydro- [2,4′]bipyridinyl-5-yl]-amide, (PTM-III-53) 4-Cyano-1H-imidazole-2-carboxylic acid {2-cyclohex-1-enyl-4-[1-(2-methylamino-acetyl)-piperidin-4-yl]-phenyl}-amide, (PTM-III-54) 4-Cyano-1H-imidazole-2-carboxylic acid [1′-(2-dimethylamino-acetyl)-6-(4,4-dimethyl-cyclohex-1-enyl)-1′,2′,3′,4′,5′,6′-hexahydro-[2,4′]bipyridinyl-5-yl]-amide trifluoroacetic acid salt, (PTM-III-55) 4-Cyano-1H-imidazole-2-carboxylic acid [6-(4,4-dimethyl-cyclohex-1-enyl)-1′-(2-methanesulfonyl-ethyl)-1′,2′,3′,4′,5′,6′-hexhydro-[2,4′]bipyridinyl-5-yl]-amide trifluoroacetic acid salt, or solvates, hydrates, tautomers and pharmaceutically acceptable salts thereof.

In an embodiment, the PTM is represented by Formula PTM-IV (which correspond to Formula I from U.S. Patent Application Publication No. 2009/0054358 A1, which is incorporated herein in its entirety for all purposes):

wherein:

W of PTM-IV is C, N, O;

X of PTM-IV can be C, N, absent;

Y of PTM-IV can be C;

Z of PTM-IV can be C, N;

and R groups can be substituted variants of:

R¹ of PTM-IV can be H, alkoxy, hydroxyl, heterocyclic alkyl/aryl;

R² of PTM-IV can be H, F, alkoxy, heterocyclic alkyl/aryl;

R³ of PTM-IV can be H, O, aryl, heteroaryl, C(O)heteroaryl;

R⁴ of PTM-IV can be H, alkyl, aryl, heteroaryl, CH-heteroaryl, absent;

R⁵ of PTM-IV can be H, aryl, heteroalkyl/aryl, absent;

the dashed lines between WX, WY, YZ, YR³, and ZR⁴ of PTM-IV indicating an optionally double bond, wherein the aryl, heteroaryl, heterocyclic alkyl/aryl are optionally substituted; and

the PTM-IV is covalently joined to a ULM, a chemical linker group (L), a CLM, an ILM, a VLM, MLM, a ULM′, a CLM′, a ILM′, a VLM′, a MLM′, or combination thereof.

In any aspect or embodiment described herein, the PTM-IV is covalently joined to a ULM, a chemical linker group (L), a CLM, an ILM, a VLM, MLM, a ULM′, a CLM′, a ILM′, a VLM′, a MLM′, or combination thereof via an R group (e.g., R¹, R², R³, R⁴, or R⁵).

In further embodiments, the PTM is selected from:

wherein the PTM-IV is covalently joined to a ULM, a chemical linker group (L), a CLM, an ILM, a VLM, MLM, a ULM′, a CLM′, a ILM′, a VLM′, a MLM′, or combination thereof.

In an embodiment, the PTM is represented by Formula PTM-V (which correspond to Formula I from U.S. Patent Application Publication No. 2013/0274259 A1, which is incorporated herein in its entirety for all purposes):

or a salt, prodrug, tautomer, or isomer thereof, wherein:

X₁ of PTM-V is N or CR², X₂ is N or CR⁶, Y₁ is N or CR⁴, and Y₂ is N or CR⁵, provided, however, that not more than one of X₂, Y₁ and Y₂ is N;

L¹ of PTM-V is selected from the group consisting of optionally substituted lower alkylene, —S—, —O—, —C(O)—, —C(S)—, —S(O)—, —S(O)₂—, and —NR′—;

L² of PTM-V is selected from the group consisting of a bond, optionally substituted lower alkylene, -(alk)_(a)-S-(alk)_(b)-, -(alk)_(a)-O-(alk)_(b)-, -(alk)_(a)-OC(O)-(alk)_(b)-, -(alk)_(a)-C(O)O-(alk)_(b)-, -(alk)_(a)-OC(S)-(alk)_(b)-, -(alk)_(a)-C(S)O-(alk)_(b)-, -(alk)_(a)-C(O)-(alk)_(b)-, -(alk)_(a)-C(S)-(alk)_(b)-, -(alk)_(a)-C(O)NR⁹-(alk)_(b)-, -(alk)_(a)-OC(O)NR⁹-(alk)_(b)-, -(alk)_(a)-OC(S)NR⁹-(alk)_(b)-, -(alk)_(a)-C(S)NR⁹-(alk)_(b)-, -(alk)_(a)-S(O)-(alk)_(b)-, -(alk)_(a)-S(O)₂-(alk)_(b)-, -(alk)_(a)-S(O)₂NR⁹-(alk)_(b)-, -(alk)_(a)-NR⁹-(alk)_(b)-, -(alk)_(a)-NR⁹C(O)-(alk)_(b)-, -(alk)_(a)-NR⁹C(S)-(alk)_(b)-, (alk)_(a)-NR⁹C(O)NR⁹-(alk)_(b)-, -(alk)_(a)-NR⁹C(S)NR⁹-(alk)_(b)-, -(alk)_(a)-NR⁹C(O)O-(alk)_(b)-, -(alk)_(a)-NR⁹C(S)O-(alk)_(b)-, -(alk)_(a)-NR⁹S(O)₂-(alk)_(b)-, and -(alk)_(a)-NR⁹S(O)₂NR⁹-(alk)_(b)-, wherein alk is optionally substituted C₁₋₃ alkylene and a and b are independently 0 or 1;

R¹ of PTM-V is selected from the group consisting of optionally substituted lower alkyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, and optionally substituted heteroaryl;

R², R⁴, R⁵ and R⁶ of PTM-V are independently selected from the group consisting of hydrogen, halogen, optionally substituted lower alkyl, optionally substituted lower alkenyl, optionally substituted lower alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, optionally substituted heteroaryl, —OH, —NH₂, —NO₂, —CN, —C(O)OH, —C(S)OH, —C(O)NH₂, —C(S)NH₂, —S(O)₂NH₂, —NHC(O)NH₂, —NHC(S)NH₂, —NHS(O)₂NH₂, —NR¹⁰R¹¹, —NHR³, —OR³, —SR³, —C(O)R³, —C(S)R³, —S(O)R³, —S(O)₂R³, —C(O)OR³, —C(S)OR³, —C(O)NHR³, —C(O)NR³R³, —C(S)NHR³, —C(S)NR³R³, —S(O)₂NHR³, —S(O)₂NR³R³, —NHC(O)R³, —NR³C(O)R³, —NHC(S)R³, —NR³C(S)R³, —NHS(O)₂R³, —NR³S(O)₂R³, —NHC(O)OR³, —NR³C(O)OH, —NR³C(O)OR³, —NHC(S)OR³, —NR³C(S)OH, —NR³C(S)OR³, —NHC(O)NHR³, —NHC(O)NR³R³, —NR³C(O)NH₂, —NR³C(O)NHR³, —NR³C(O)NR³R³, —NHC(S)NHR³, —NHC(S)NR³R³, —NR³C(S)NH₂, —NR³C(S)NHR³, —NR³C(S)NR³R³, —NHS(O)₂NHR³, —NHS(O)₂NR³R³, —NR³S(O)₂NH₂, —NR³S(O)₂NHR³, and —NR³S(O)₂NR³R³;

Ar₁ of PTM-V is a 5 or 6 membered optionally substituted heteroarylene having the structure

wherein

indicates the point of attachment of L¹ and

indicates the point of attachment of L², and wherein the indicated N is either ═N— or —N═;

n of PTM-V is 0 or 1;

F and J of PTM-V are both C or one of F and J is C and the other of F and J is N;

P and Q of PTM-V are independently selected from CR, N, NR, O or S;

T of PTM-V is selected from CR or N;

wherein:

when n is 1, F and J are C, and P, T and Q are CR, or any one of P, T and Q is N and the other two of P, T and Q are CR,

when n is 0 and F and J are both C, then one of P and Q are CR, N or NR and the other of P and Q is C, N, NR, O or S, provided both P and Q are not CR,

when n is 0, one of F and J is N and the other of F and J is C, then one of P and Q is N and the other of P and Q is CR or both P and Q are CR, and

R of PTM-V is hydrogen or an optional substituent as defined herein for optionally substituted heteroarylene that provides a stable compound;

R³ of PTM-V at each occurrence is independently selected from the group consisting of optionally substituted lower alkyl, optionally substituted lower alkenyl, provided, however, that no alkene carbon thereof is bound to any —C(O)—, —C(S)—, —S(O)—, —S(O)₂, —O—, —S—, or —N— of any of —OR³, —SR³, —C(O)R³, —C(S)R³, —S(O)R³, —S(O)₂R³, —C(O)OR³, —C(S)OR³, —C(O)NHR³, —C(O)NR³R³, —C(S)NHR³, —C(S)NR³R³, —S(O)₂NHR³, —S(O)₂NR³R³, —NHR³, —NHC(O)R³, —NR³C(O)R³, —NHC(S)R³, —NR³C(S)R³, —NHS(O)₂R³, —NR³S(O)₂R³, —NHC(O)OR³, —NR³C(O)OH, —NR³C(O)OR³, —NHC(S)OR³, —NR³C(S)OH, —NR³C(S)OR³, —NHC(O)NHR³, —NHC(O)NR³R³, —NR³C(O)NH₂, —NR³C(O)NHR³, —NR³C(O)NR³R³, —NHC(S)NHR³, —NHC(S)NR³R³, NR³C(S)NH₂, —NR³C(S)NHR³, —NR³C(S)NR³R³, —NHS(O)₂NHR³, —NHS(O)₂NR³R³, —NR³S(O)₂NH₂, —NR³S(O)₂NHR³, or —NR³S(O)₂NR³R³, optionally substituted lower alkynyl, provided, however, that no alkyne carbon thereof is bound to any —C(O)—, —C(S)—, —S(O)—, —S(O)₂, —O—, —S—, or —N— of any of —OR³, —SR³, —C(O)R³, —C(S)R³, —S(O)R³, —S(O)₂R³, —C(O)OR³, —C(S)OR³, —C(O)NHR³, —C(O)NR³R³, —C(S)NHR³, —C(S)NR³R³, —S(O)₂NHR³, —S(O)₂NR³R³, —NHR³, —NHC(O)R³, —NR³C(O)R³, —NHC(S)R³, —NR³C(S)R³, —NHS(O)₂R³, —NR³S(O)₂R³, —NHC(O)OR³, —NR³C(O)OH, —NR³C(O)OR³, —NHC(S)OR³, —NR³C(S)OH, —NR³C(S)OR³, —NHC(O)NHR³, —NHC(O)NR³R³, —NR³C(O)NH₂, —NR³C(O)NHR³, —NR³C(O)NR³R³, —NHC(S)NHR³, —NHC(S)NR³R³, —NR³C(S)NH₂, —NR³C(S)NHR³, —NR³C(S)NR³R³, —NHS(O)₂NHR³, —NHS(O)₂NR³R³, —NR³S(O)₂NH₂, —NR³S(O)₂NHR³, or —NR³S(O)₂NR³R³, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, and optionally substituted heteroaryl;

R⁷ of PTM-V is selected from the group consisting of hydrogen, optionally substituted lower alkyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, optionally substituted heteroaryl, —C(O)R⁸, and —S(O)₂R⁸;

R⁸ of PTM-V is selected from the group consisting of optionally substituted lower alkyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl and optionally substituted heteroaryl;

R⁹ of PTM-V at each occurrence is independently selected from the group consisting of hydrogen, lower alkyl, and lower alkyl substituted with one or more substituents selected from the group consisting of fluoro, —OH, —NH₂, lower alkoxy, fluoro substituted lower alkoxy, lower alkylthio, fluoro substituted lower alkylthio, mono-alkylamino, fluoro substituted mono-alkylamino, di-alkylamino, fluoro substituted di-alkylamino, and —NR¹²R¹³, provided, however, that when R⁹ is substituted lower alkyl, any substitution on the alkyl carbon bound to the —N— of NR⁹— is fluoro;

R¹⁰ and R¹¹ of PTM-V at each occurrence are independently selected from the group consisting of optionally substituted lower alkyl, optionally substituted lower alkenyl, provided, however, that no alkene carbon thereof is bound to the nitrogen of NR¹⁰R¹¹, optionally substituted lower alkynyl, provided, however, that no alkyne carbon thereof is bound to the nitrogen of —NR¹⁰R¹¹, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, and optionally substituted heteroaryl; or

R¹⁰ and R¹¹ of PTM-V together with the nitrogen to which they are attached form a monocyclic 5-7 membered optionally substituted heterocycloalkyl or a monocyclic 5 or 7 membered optionally substituted nitrogen containing heteroaryl;

R¹² and R¹³ of PTM-V combine with the nitrogen to which they are attached to form a 5-7 membered heterocycloalkyl or 5-7 membered heterocycloalkyl substituted with one or more substituents selected from the group consisting of fluoro, —OH, —NH₂, lower alkyl, fluoro substituted lower alkyl, lower alkoxy, fluoro substituted lower alkoxy, lower alkylthio, and fluoro substituted lower alkylthio; and

the PTM-V is covalently joined to a ULM, a chemical linker group (L), a CLM, an ILM, a VLM, MLM, a ULM′, a CLM′, a ILM′, a VLM′, a MLM′, or combination thereof.

In any aspect or embodiment described herein, the PTM-V is covalently joined to a ULM, a chemical linker group (L), a CLM, an ILM, a VLM, MLM, a ULM′, a CLM′, a ILM′, a VLM′, a MLM′, or combination thereof via an R group (e.g., R, R¹, R², R³, R⁴, R⁵, R⁶, R⁷, R⁸, R⁹, R¹⁰, R¹¹, R¹², or R¹³).

In additional embodiments, the PTM of PTM-V has a structure selected from the following:

wherein L¹, Ar₁, L², R¹, R², R⁴, R⁵ and R⁶ are as defined for Formula PTM-V.

In one embodiment of the methods provided herein, X₁ and X₂ of Formula PTM-V are N or CH. In another embodiment, X₁, X₂ and Y₁ of PTM-V are N or CH, where in a further embodiment, Y₂ is CR⁵ and R⁵ is other than hydrogen. In another embodiment, X₁, X₂ and Y₂ of PTM-V are N or CH, where in a further embodiment Y₁ is CR⁴ and R⁴ is other than hydrogen. In another embodiment, X₁, X₂ and Y₁ of PTM-V are CH, where in a further embodiment, Y₂ is CR⁵ and R⁵ is other than hydrogen. In another embodiment, X₁, X₂ and Y₂ of PTM-V are CH, where in a further embodiment Y₁ is CR⁴ and R⁴ is other than hydrogen.

In one embodiment of the methods provided herein, X₁, X₂, Y₁ and Y₂ of PTM-V are independently CR², CR⁶, CR⁴ and CR⁵ respectively, one of R⁴ or R⁵ is other than hydrogen, preferably where R² and R⁶ are hydrogen. In one embodiment, wherein X₁, X₂, Y₁ and Y₂ of PTM-V are independently CR², CR⁶, CR⁴ and CR⁵ respectively, R², R⁵ and R⁶ are hydrogen and R⁴ is other than hydrogen. In one embodiment, wherein X₁, X₂, Y₁ and Y₂ of PTM-V are independently CR², CR⁶, CR⁴ and CR⁵ respectively, R², R⁴ and R⁶ are hydrogen and R⁵ is other than hydrogen.

In one embodiment of the methods provided herein, X₁ and X₂ of PTM-V are N or CH, preferably wherein both X₁ and X₂ are CH.

In one embodiment of the methods provided herein, L¹ of PTM-V is selected from the group consisting of S, O, lower alkylene, —C(O)—, —C(S)—, —S(O)—, —S(O)₂—, and NR⁷—, wherein lower alkylene is optionally substituted with fluoro, and wherein when L² is optionally substituted lower alkylene or comprises optionally substituted C₁₋₃ alkylene, the alkylene is optionally substituted with fluoro or lower alkyl. In one embodiment, L¹ is selected from the group consisting of —S—, —O—, —CH₂—, —CF₂—, —C(O)—, —C(S)—, —S(O)—, —S(O)₂—, and —NH—.

In one embodiment of the methods provided herein, L² of PTM-V is selected from the group consisting of a bond, optionally substituted lower alkylene, —O-(alk)_(b)-, —OC(O)-(alk)_(b)-, —C(O)O-(alk)_(b)-, —OC(S)-(alk)_(b)-, —C(S)O-(alk)_(b)-, —C(O)-(alk)_(b)-, —C(S)-(alk)_(b)-, —C(O)NR⁹-(alk)_(b)-, —OC(O)NR⁹-(alk)_(b)-, —OC(S)NR⁹-(alk)_(b)-, —C(S)NR⁹-(alk)_(b)-, —S(O)-(alk)_(b)-, —S(O)₂-(alk)_(b)-, S(O)₂NR⁹-(alk)_(b)-, —NR⁹-(alk)_(b)-, —NR⁹C(O)-(alk)_(b)-, —NR⁹C(O)O-(alk)_(b)-, —NR⁹C(S)-(alk)_(b)-, —NR⁹C(S)O-(alk)_(b)-, —NR⁹C(O)NR⁹-(alk)_(b)-, —NR⁹C(S)NR⁹-(alk)_(b)-, —NR⁹S(O)₂-(alk)_(b)-, and —NR⁹S(O)₂NR⁹-(alk)_(b)-.

In any aspect or embodiments described herein, when L¹ of PTM-V is a substituted lower alkylene or when L² of PTM-V is a substituted lower alkylene or comprises substituted C₁₋₃ alkylene, the alkylene is substituted with one or more, preferably 1, 2, or 3 substituents selected from the group consisting of fluoro, —OH, —NH₂, lower alkoxy, lower alkylthio, mono-alkylamino, di-alkylamino, and NR¹²R¹³, wherein the alkyl chain(s) of lower alkoxy, lower alkylthio, mono-alkylamino or di-alkylamino are optionally substituted with one or more, preferably 1, 2, or 3 substituents selected from the group consisting of fluoro, —OH, NH₂, lower alkoxy, fluoro substituted lower alkoxy, lower alkylthio, fluoro substituted lower alkylthio, mono-alkylamino, di-alkylamino, or cycloalkylamino.

In one embodiment of the methods provided herein, the variables P, J, Q, T, F, and n of PTM-V are selected to provide structures of Ar₁ selected from the group consisting of:

where each R is independently hydrogen or an optional substituent as defined herein for optionally substituted heteroaryl.

In an embodiment, the PTM is represented by Formula PTM-VI (which correspond to Formula I from U.S. Patent Application Publication No. 2014/0329800 A1, which is incorporated herein in its entirety for all purposes):

wherein:

Ar of PTM-VI is selected from the group consisting of optionally substituted or unsubstituted aryl, and optionally substituted or unsubstituted heteroaryl, when substituted, the substituents could be one or more groups independently selected from halogen, alkyl, haloalkyl, or hydroxyl alkyl;

L of PTM-VI is H, optionally substituted or unsubstituted alkyl, optionally substituted or unsubstituted cycloalkyl, optionally substituted or unsubstituted cycloalkylalkyl, optionally substituted or unsubstituted aryl, optionally substituted or unsubstituted arylalkyl, optionally substituted or unsubstituted sulfonamido, optionally substituted or unsubstituted heterocycloalkyl, optionally substituted or unsubstituted heterocycloalkylalkyl, optionally substituted or unsubstituted heteroaryl or optionally substituted or unsubstituted heteroarylalkyl; when substituted, the substituents can be one or more groups independently selected from the group consisting of halo, alkyl, haloalkyl, cycloalkyl, cycloalkylalkyl, heterocycloalkyl, heterocycloalkylalkyl, amino, aminoalkyl, amido, aminocarbonyl, sulfonamido, ureido, cyano, acetyl, acyl, carboxylic acid, hydroxyl, hydroxylalkyl, alkoxyl, —NHalkylhydroxyl, —NHalkoxyalkyl, —NHalkylamnio, —NHcycloalkyl, —NHcycloalkylalkyl, —NHheterocycloalkyl, —NH heterocycloalkylalkyl, —NHaryl, —NHarylalkyl, —NHheteroaryl, or —NHheteroarylalkyl;

Y of PTM-VI is O, S, NR₂R_(2′) or a direct bond (that means L directly connected with the left heteroaryl);

X₁, X₂, X₃ and X₄ of PTM-VI are independently N or CR₁,

R₁ of PTM-VI is H, or —Y-L;

R, R₂ and R₂′ of PTM-VI are each independently selected from the group consisting of hydrogen, alkyl, cycloalkyl, aryl, heteroaryl, haloalkoxyl, hydroxyl, amino, aminocarbonyl, sulfonamido, cyano, alkynyl, alkoxyl, aryloxyl, carboxylic acid, carboxylic ester or halogen, or R₂, R₂′ together with the nitrogen atom to which they are attached, form a 3- to 7-membered heterocycloalkyl ring, and the hetero atom could be selected from at least one of O, S or N atoms. The 3- to 7-membered heterocycloalkyl ring could be further optionally substituted with a group independently selected from alkyl, cycloalkyl, methylsulfonyl, ureido, acyl, amido, aminocarbonyl, alkylamino, alkylhydroxyl, heterocycloalkyl, aryl, or heteroaryl. Preferably R₂, R₂′ and the N could be formed a heterocycle such as

R₇ could be the groups independently selected from H, methylsulfonyl, lower alkyl, that is C₁-C₆ straight chain and branched chain alkyl, such as methyl, ethyl, propyl, 2-propyl, n-butyl, iso-butyl, tert-butyl, pentyl, neopentyl, hexyl, isohexyl; and

the PTM-VI is covalently joined to a ULM, a chemical linker group (L), a CLM, an ILM, a VLM, MLM, a ULM′, a CLM′, a ILM′, a VLM′, a MLM′, or combination thereof.

In any aspect or embodiment described herein, the PTM-VI is covalently joined to a ULM, a chemical linker group (L), a CLM, an ILM, a VLM, MLM, a ULM′, a CLM′, a ILM′, a VLM′, a MLM′, or combination thereof via an R group (e.g., R, R₁, R₂, R₂′, or R₇)

In a preferred embodiment, the PTM of PTM-VI comprises at least one of:

Ar of PTM-VI is

L of PTM-VI is H, optionally substituted or unsubstituted alkyl, optionally substituted or unsubstituted cycloalkyl, optionally substituted or unsubstituted cycloalkylalkyl, optionally substituted or unsubstituted aryl, optionally substituted or unsubstituted arylalkyl, optionally substituted or unsubstituted sulfonamido, optionally substituted or unsubstituted heterocycloalkyl, optionally substituted or unsubstituted heterocycloalkylalkyl, optionally substituted or unsubstituted heteroaryl or optionally substituted or unsubstituted heteroarylalkyl, when substituted, the substituents can be one or more groups independently selected from the group consisting of halo, alkyl, haloalkyl, cycloalkyl, cycloalkylalkyl, heterocycloalkyl, heterocycloalkylalkyl, amino, aminoalkyl, amido, aminocarbonyl, sulfonamido, ureido, cyano, acetyl, acyl, carboxylic acid, hydroxyl, hydroxyl alkyl, alkoxyl, —NHalkylhydroxyl, —NHalkoxyalkyl, —NHalkylamnio, —NHcycloalkyl, —NHcycloalkylalkyl, —NHheterocycloalkyl, —NHheterocycloalkylalkyl, —NHaryl, —NHarylalkyl, —NHheteroaryl, or —NH heteroarylalkyl;

Y of PTM-VI is O, S, NR₂R₂′ or a direct bond;

X₁, X₂, X₃ and X₄ of PTM-VI are independently N or CR₁,

R₁ of PTM-VI is H, or —Y-L;

R, R₂ and R₂′ of PTM-VI are each independently selected from the group consisting of hydrogen, alkyl, cycloalkyl, aryl, heteroaryl, haloalkoxyl, hydroxyl, amino, amido, aminocarbonyl, sulfonamido, cyano, alkynyl, alkoxyl, aryloxyl, carboxylic acid, carboxylic ester or halogen, or R₂, R₂′ together with the nitrogen atom to which they are attached, form a 3- to 7-membered heterocycloalkyl ring, and the hetero atom could be selected from at least one of O, S or N atoms. The 3- to 7-membered heterocycloalkyl ring could be further optionally substituted with a group independently selected from alkyl, cycloalkyl, methylsulfonyl, ureido, acyl, amido, aminocarbonyl, alkylamino, alkylhydroxyl, heterocycloalkyl, aryl, or heteroaryl. Preferably R₂, R₂′ and the N could be formed a heterocycle such as

and

R₇ of PTM-VI is independently selected from H, methylsulfonyl, lower alkyl, that is C₁-C₆ straight chain and branched chain alkyl, such as methyl, ethyl, propyl, 2-propyl, n-butyl, iso-butyl, tert-butyl, pentyl, neopentyl, hexyl, isohexyl.

In certain embodiments, the PTM of PTM-VI is selected from the group consisting of:

In an embodiment, the PTM is represented by Formula PTM-VII (which correspond to Formula I from U.S. Patent Application Publication No. 2015/0259288 A1, which is incorporated herein in its entirety for all purposes):

wherein:

L of PTM-VII is a bond, substituted or unsubstituted alkylene, or substituted or unsubstituted heteroalkylene;

R¹ of PTM-VII is hydrogen, halogen, —CF₃, —CCl₃, —CBr₃, —CI₃, —OCF₃, —OCCl₃, —OCBr₃, —OCl₃, —CN, —OH, —NH₂, —COOH, —C(O)OR₄, —CONH₂, —NO₂, —SH, —NHNH₂, —NR²R³, —OR⁴, —SR⁴, substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl or substituted or unsubstituted heteroaryl. R² and R³ are independently substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, substituted or unsubstituted heteroaryl;

R₂ and R₃ of PTM-VII are optionally joined together to form a substituted or unsubstituted heterocycloalkyl or substituted or unsubstituted heteroaryl. R⁴ of PTM-VII is substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl or substituted or unsubstituted heteroaryl;

R₅ and R₆ of PTM-VII are independently hydrogen, halogen, —CF₃, —CCl₃, —CBr₃, —CI₃, —OCF₃, —OCCl₃, —OCBr₃, —OCl₃, —CN, —OH, —NH₂, —COOH, —C(O)OR₉, —CONH₂, —NO₂, —SH, —NHNH₂, —NR⁷R⁸, —OR⁹, —SR⁹, substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl or substituted or unsubstituted heteroaryl;

R⁷ and R⁸ of PTM-VII are independently substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl or substituted or unsubstituted heteroaryl, or R⁷ and R⁸ are optionally joined together to form a substituted or unsubstituted heterocycloalkyl or substituted or unsubstituted heteroaryl;

R⁹ of PTM-VII is substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl or substituted or unsubstituted heteroaryl;

the PTM-VII is covalently joined to a ULM, a chemical linker group (L), a CLM, an ILM, a VLM, MLM, a ULM′, a CLM′, a ILM′, a VLM′, a MLM′, or combination thereof.

In any aspect or embodiment described herein, the PTM-VII is covalently joined to a ULM, a chemical linker group (L), a CLM, an ILM, a VLM, MLM, a ULM′, a CLM′, a ILM′, a VLM′, a MLM′, or combination thereof via an R group (e.g., R¹, R⁸, or R⁹).

In some embodiment, L of PTM-VII may be a bond or substituted or unsubstituted alkylene. In other embodiments, L of PTM-VII is substituted or unsubstituted alkylene. L of PTM-VII may be an unsubstituted alkylene. L of PTM-VII may be an unsubstituted C₁-C₈ alkylene. L of PTM-VII may be an unsubstituted C₁-C₄ alkylene. L of PTM-VII may be an unsubstituted C₂ alkylene. L of PTM-VII may be an unsubstituted methylene. In certain embodiments, L of PTM-VII is a bond. In an embodiment, L of PTM-VII is independently a bond or R⁴⁷-substituted or unsubstituted alkylene. L may be a substituted or unsubstituted heteroalkylene. L of PTM-VII may be a substituted or unsubstituted 2 to 8 membered heteroalkylene. L of PTM-VII may be substituted or unsubstituted 2 to 6 membered heteroalkylene. L of PTM-VII may be an unsubstituted heteroalkylene. L of PTM-VII may be an unsubstituted 2 to 8 membered heteroalkylene. L of PTM-VII may be an unsubstituted 2 to 6 membered heteroalkylene.

R⁴⁷ of PTM-VII is independently oxo, halogen, —CF₃, —CN, —OH, —NH, —COOH, —CONH₂, —NO₂, —SH, —SO₂Cl, —SO₃H, —SO₄H, —SO₂NH₂, —NHNH₂, —ONH₂, —NHC(O)NHNH₂, —NHC(O)NH₂, —NHSO₂H, —NHC(O)H, —NHC(O)OH, —NHOH, —OCF₃, —OCHF₂, R⁴⁸-substituted or unsubstituted alkyl, R⁴⁸-substituted or unsubstituted heteroalkyl, R⁴⁸-substituted or unsubstituted cycloalkyl, R⁴⁸-substituted or unsubstituted heterocycloalkyl, R⁴⁸-substituted or unsubstituted aryl, or R⁴⁸-substituted or unsubstituted heteroaryl.

R⁴⁸ of PTM-VII is independently oxo, halogen, —CF₃, —CN, —OH, —NH₂, —COOH, —CONH₂, —NO₂, —SH, —SO₂Cl, —SO₃H, —SO₄H, —SO₂NH₂, —NHNH₂, —ONH₂, —NHC(O)NHNH₂, —NHC(O)NH₂, —NHSO₂H, —NHC(O)H, —NHC(O)OH, —NHOH, —OCF₃, —OCHF₂, R⁴⁹-substituted or unsubstituted alkyl, R⁴⁹-substituted or unsubstituted heteroalkyl, R⁴⁹-substituted or unsubstituted cycloalkyl, R⁴⁹-substituted or unsubstituted heterocycloalkyl, R⁴⁹-substituted or unsubstituted aryl, or R⁴⁹-substituted or unsubstituted heteroaryl

In any embodiment or aspect described herein, R¹ of PTM-VII is halogen, —CF₃, —CCl₃, —CBr₃, —CI₃, —OCF₃, —OCCl₃, —OCBr₃, —OCl₃, —CN, —OH, —NH₂, —COOH, —C(O)OR⁴, —CONH₂, —NO₂, —SH, —NHNH₂, —NR²R³, —OR⁴, —SR⁴, substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl or substituted or unsubstituted heteroaryl. In any embodiment or aspect described herein, R¹ is —NR²R³. In any embodiment or aspect described herein, R¹ is a substituted alkyl. In any embodiment or aspect described herein, R¹ may be a substituted C₁-C₈ alkyl. In any embodiment or aspect described herein, R¹ is a substituted C₁-C₄ alkyl. In any embodiment or aspect described herein, R¹ may be a substituted ethyl. In any embodiment or aspect described herein, R¹ is a substituted methyl. In any embodiment or aspect described herein, R¹ is not hydrogen. In any embodiment or aspect described herein, R¹ is not —OH. In embodiments, R¹ is not —NH₂.

In any embodiment or aspects described herein, R¹ of PTM-VII is independently hydrogen, halogen, —CF₃, —CN, —OH, —NH₂, —COOH, —CONH₂, —NO₂, —SH, —NHNH₂, —OCF₃, —OCHF₂, R²⁰-substituted or unsubstituted alkyl, R²⁰-substituted or unsubstituted heteroalkyl, R²⁰-substituted or unsubstituted cycloalkyl, R²⁰-substituted or unsubstituted heterocycloalkyl, R²⁰-substituted or unsubstituted aryl, or R²⁰-substituted or unsubstituted heteroaryl.

In any embodiments or aspects described herein, R¹ of PTM-VII is independently halogen, —CF₃, —CN, —OH, —NH₂, —COOH, —CONH₂, —NO₂, —SH, —NHNH₂, —OCF₃, —OCHF₂, R²⁰-substituted or unsubstituted alkyl, R²⁰-substituted or unsubstituted heteroalkyl, R²⁰-substituted or unsubstituted cycloalkyl, R²⁰-substituted or unsubstituted heterocycloalkyl, R²⁰-substituted or unsubstituted aryl, or R²⁰-substituted or unsubstituted heteroaryl.

In any embodiment or aspect described herein, R¹ of PTM-VII is: a substituted or unsubstituted C₁-C₂₀ alkyl; R²⁰-substituted or unsubstituted C₁-C₂₀ alkyl; a substituted or unsubstituted C₁-C₁₀ alkyl; R²⁰-a substituted or unsubstituted C₁-C₁₀ alkyl; a substituted or unsubstituted C₁-C₈ alkyl; R²⁰-substituted or unsubstituted C₁-C₈ alkyl; a substituted or unsubstituted C₁-C₅ alkyl; or R²⁰-substituted or unsubstituted C₁-C₅ alkyl.

In any embodiment or aspect described herein, R¹ of PTM-VII is: a substituted or unsubstituted 2 to 20 membered heteroalkyl; a R²⁰-substituted or unsubstituted 2 to 20 membered heteroalkyl; a substituted or unsubstituted 2 to 10 membered heteroalkyl; a R²⁰-substituted or unsubstituted 2 to 10 membered heteroalkyl; a substituted or unsubstituted 2 to 8 membered heteroalkyl; a R²⁰-substituted or unsubstituted 2 to 8 membered heteroalkyl; a substituted or unsubstituted 2 to 6 membered heteroalkyl; or a R²⁰-substituted or unsubstituted 2 to 6 membered heteroalkyl.

In any embodiments or aspects described herein, R¹ of PTM-VII is: a substituted or unsubstituted 3 to 20 membered cycloalkyl; R²⁰-substituted or unsubstituted 3 to 20 membered cycloalkyl; a substituted or unsubstituted 3 to 10 membered cycloalkyl; R²⁰-substituted or unsubstituted 3 to 10 membered cycloalkyl; a substituted or unsubstituted 3 to 8 membered cycloalkyl; R²⁰-substituted or unsubstituted 3 to 8 membered cycloalkyl; a substituted or unsubstituted 3 to 6 membered cycloalkyl; R²⁰-substituted or unsubstituted 3 to 6 membered cycloalkyl; a substituted or unsubstituted 5 membered cycloalkyl; R²⁰-substituted or unsubstituted 5 membered cycloalkyl; a substituted or unsubstituted 6 membered cycloalkyl; or R²⁰-substituted or unsubstituted 6 membered cycloalkyl.

In any aspect or embodiment described herein, R¹ of PTM-VII is substituted or unsubstituted 3 to 20 membered heterocycloalkyl; R²⁰-substituted or unsubstituted 3 to 20 membered heterocycloalkyl; a substituted or unsubstituted 3 to 10 membered heterocycloalkyl; R²⁰-substituted or unsubstituted 3 to 10 membered heterocycloalkyl; a substituted or unsubstituted 3 to 8 membered heterocycloalkyl; R²⁰-substituted or unsubstituted 3 to 8 membered heterocycloalkyl; a substituted or unsubstituted 3 to 6 membered heterocycloalkyl; R²⁰-substituted or unsubstituted 3 to 6 membered heterocycloalkyl; a substituted or unsubstituted 5 membered heterocycloalkyl R²⁰-substituted or unsubstituted 5 membered heterocycloalkyl; a substituted or unsubstituted 6 membered heterocycloalkyl; or R²⁰-substituted or unsubstituted 6 membered heterocycloalkyl.

In any embodiment or aspect described herein, R¹ of PTM-VII is substituted or unsubstituted 5 to 10 membered aryl; R²⁰-substituted or unsubstituted 5 to 10 membered aryl; a substituted or unsubstituted 5 to 8 membered aryl; R²⁰-substituted or unsubstituted 5 to 8 membered aryl; a substituted or unsubstituted 6 membered aryl; or R²⁰-substituted or unsubstituted 6 membered aryl.

In any embodiment or aspect described herein, R¹ of PTM-VII is substituted or unsubstituted 5 to 10 membered heteroaryl; R²⁰-substituted or unsubstituted 5 to 10 membered heteroaryl; a substituted or unsubstituted 5 to 8 membered heteroaryl; R²⁰-substituted or unsubstituted 5 to 8 membered heteroaryl; a substituted or unsubstituted 6 membered heteroaryl; or R²⁰-substituted or unsubstituted 6 membered heteroaryl.

R²⁰ of PTM-VII is independently oxo, halogen, —CF₃, —CN, —OH, —NH₂, —COOH, —CONH₂, —NO₂, —SH, —SO₂Cl, —SO₃H, —SO₄H, —SO₂NH₂, —NHNH₂, —ONH₂, —NHC(O)NHNH₂, —NHC(O)NH₂, —NHSO₂H, —NHC(O)H, —NHC(O)OH, —NHOH, —OCF₃, —OCHF₂, R²¹-substituted or unsubstituted alkyl, R²¹-substituted or unsubstituted heteroalkyl, R.sup.²¹-substituted or unsubstituted cycloalkyl, R²¹-substituted or unsubstituted heterocycloalkyl, R²¹-substituted or unsubstituted aryl, or R²¹-substituted or unsubstituted heteroaryl.

R²¹ of PTM-VII is independently oxo, halogen, —CF₃, —CN, —OH, —NH₂, —COOH, —CONH₂, —NO₂, —SH, —SO₂Cl, —SO₃H, —SO₄H, —SO₂NH₂, —NHNH₂, —ONH₂, —NHC(O)NHNH₂, —NHC(O)NH₂, —NHSO₂H, —NHC(O)H, —NHC(O)OH, —NHOH, —OCF₃, —OCHF₂, R²²-substituted or unsubstituted alkyl, R²²-substituted or unsubstituted heteroalkyl, R²²-substituted or unsubstituted cycloalkyl, R²²-substituted or unsubstituted heterocycloalkyl, R²²-substituted or unsubstituted aryl, or R²²-substituted or unsubstituted heteroaryl.

In any embodiment or aspect described herein, R² of PTM-VII is independently substituted or unsubstituted alkyl; substituted or unsubstituted C₁-C₈ alkyl; substituted C₁-C₈ alkyl; unsubstituted C₁-C₈ alkyl; substituted or unsubstituted C₁-C₄ alkyl; substituted C₁-C₄ alkyl; unsubstituted C₁-C₄ alkyl; —OH substituted or unsubstituted C₁-C₄ alkyl; substituted or unsubstituted methyl; substituted or unsubstituted ethyl; substituted or unsubstituted propyl; R²³-substituted or unsubstituted alkyl; R²³-substituted or unsubstituted heteroalkyl; R²³-substituted or unsubstituted cycloalkyl; R²³-substituted or unsubstituted heterocycloalkyl; R²³-substituted or unsubstituted aryl; or R²³-substituted or unsubstituted heteroaryl.

In any embodiment or aspect herein, R² of PTM-VII is substituted or unsubstituted C₁-C₂₀ alkyl; R²³-substituted or unsubstituted C¹-C²⁰ alkyl; substituted or unsubstituted C¹-C¹⁰ alkyl; R²³-substituted or unsubstituted C¹-C¹⁰ alkyl; substituted or unsubstituted C¹-C⁸ alkyl; R²³-substituted or unsubstituted C¹-C⁸ alkyl; substituted or unsubstituted C¹-C⁵ alkyl; or R²³-substituted or unsubstituted C¹-C⁵ alkyl.

In any embodiments or aspects herein, R² of PTM-VII is substituted or unsubstituted 2 to 20 membered heteroalkyl; R²³-substituted or unsubstituted 2 to 20 membered heteroalkyl; substituted or unsubstituted 2 to 10 membered heteroalkyl; R²³-substituted or unsubstituted 2 to 10 membered heteroalkyl; substituted or unsubstituted 2 to 8 membered heteroalkyl; R²³-substituted or unsubstituted 2 to 8 membered heteroalkyl; substituted or unsubstituted 2 to 6 membered heteroalkyl; or R²³-substituted or unsubstituted 2 to 6 membered heteroalkyl.

In any embodiment or aspect described herein, R² of PTM-VII is substituted or unsubstituted 3 to 20 membered cycloalkyl; R²³-substituted or unsubstituted 3 to 20 membered cycloalkyl; substituted or unsubstituted 3 to 10 membered cycloalkyl; R²³-substituted or unsubstituted 3 to 10 membered cycloalkyl; substituted or unsubstituted 3 to 8 membered cycloalkyl; R²³-substituted or unsubstituted 3 to 8 membered cycloalkyl; substituted or unsubstituted 3 to 6 membered cycloalkyl; R²³-substituted or unsubstituted 3 to 6 membered cycloalkyl; substituted or unsubstituted 5 membered cycloalkyl; R²³-substituted or unsubstituted 5 membered cycloalkyl; substituted or unsubstituted 6 membered cycloalkyl; or R²³-substituted or unsubstituted 6 membered cycloalkyl.

In any embodiment or aspect described herein, R² of PTM-VII is substituted or unsubstituted 3 to 20 membered heterocycloalkyl; R²³-substituted or unsubstituted 3 to 20 membered heterocycloalkyl; substituted or unsubstituted 3 to 10 membered heterocycloalkyl; R²³-substituted or unsubstituted 3 to 10 membered heterocycloalkyl; substituted or unsubstituted 3 to 8 membered heterocycloalkyl; R²³-substituted or unsubstituted 3 to 8 membered heterocycloalkyl; substituted or unsubstituted 3 to 6 membered heterocycloalkyl; R²³-substituted or unsubstituted 3 to 6 membered heterocycloalkyl; substituted or unsubstituted 5 membered heterocycloalkyl; R²³-substituted or unsubstituted 5 membered heterocycloalkyl; substituted or unsubstituted 6 membered heterocycloalkyl; or R²³-substituted or unsubstituted 6 membered heterocycloalkyl.

In any embodiment or aspect described herein, R² of PTM-VII is substituted or unsubstituted 5 to 10 membered aryl; R²³-substituted or unsubstituted 5 to 10 membered aryl; substituted or unsubstituted 5 to 8 membered aryl; R²³-substituted or unsubstituted 5 to 8 membered aryl; substituted or unsubstituted 6 membered aryl; or R²³-substituted or unsubstituted 6 membered aryl.

In any embodiment or aspect described herein, R² of PTM-VII is substituted or unsubstituted 5 to 10 membered heteroaryl; R²³-substituted or unsubstituted 5 to 10 membered heteroaryl; substituted or unsubstituted 5 to 8 membered heteroaryl; R²³-substituted or unsubstituted 5 to 8 membered heteroaryl; substituted or unsubstituted 6 membered heteroaryl; or R²³-substituted or unsubstituted 6 membered heteroaryl.

R²³ of PTM-VII is independently oxo, halogen, —CF₃, —CN, —OH, —NH₂, —COOH, —CONH₂, —NO₂, —SH, —SO₂Cl, —SO₃H, —SO₄H, —SO₂NH₂, —NHNH₂, —ONH₂, —NHC(O)NHNH₂, —NHC(O)NH₂, —NHSO₂H, —NHC(O)H, —NHC(O)OH, —NHOH, —OCF₃, —OCHF₂, R²⁴-substituted or unsubstituted alkyl, R²⁴-substituted or unsubstituted heteroalkyl, R²⁴-substituted or unsubstituted cycloalkyl, R²⁴-substituted or unsubstituted heterocycloalkyl, R²⁴-substituted or unsubstituted aryl, or R²⁴-substituted or unsubstituted heteroaryl. R²³ may independently be —OH. R²³ may independently be unsubstituted methyl. R²³ may independently be R²⁴-substituted or unsubstituted heteroalkyl. R²³ may independently be R²⁴-substituted or unsubstituted alkyl. R²³ may independently be R²⁴-substituted or unsubstituted C₁-C₄ alkyl.

R²⁴ of PTM-VII is independently oxo, halogen, —CF₃, —CN, —OH, —NH₂, —COOH, —CONH₂, —NO₂, —SH, —SO₂Cl, —SO₃H, —SO₄H, —SO₂NH₂, —NHNH₂, —ONH₂, —NHC(O)NHNH₂, —NHC(O)NH₂, —NHSO₂H, —NHC(O)H, —NHC(O)OH, —NHOH, —OCF₃, —OCHF₂, R²⁵-substituted or unsubstituted alkyl, R²⁵-substituted or unsubstituted heteroalkyl, R²⁵-substituted or unsubstituted cycloalkyl, R²⁵-substituted or unsubstituted heterocycloalkyl, R²⁵-substituted or unsubstituted aryl, or R²⁵-substituted or unsubstituted heteroaryl. R²⁴ may independently be —OH.

In any embodiments or aspects described herein, R³ of PTM-VII is independently substituted or unsubstituted alkyl; independently be substituted or unsubstituted C₁-C₈ alkyl; substituted C₁-C₈ alkyl; unsubstituted C₁-C₈ alkyl; substituted or unsubstituted C₁-C₄ alkyl; substituted C₁-C₄ alkyl; unsubstituted C₁-C₄ alkyl; —OH substituted or unsubstituted C₁-C₄ alkyl; substituted or unsubstituted methyl; substituted or unsubstituted ethyl; substituted or unsubstituted propyl; R²⁶-substituted or unsubstituted alkyl; R²⁶-substituted or unsubstituted heteroalkyl; R²⁶-substituted or unsubstituted cycloalkyl; R²⁶-substituted or unsubstituted heterocycloalkyl, R²⁶-substituted or unsubstituted aryl, or R²⁶-substituted or unsubstituted heteroaryl.

In any embodiments or aspects described herein, R³ of PTM-VII is substituted or unsubstituted C₁-C₂₀ alkyl; R²⁶-substituted or unsubstituted C₁-C₂₀ alkyl; substituted or unsubstituted C₁-C₁₀ alkyl; R²⁶-substituted or unsubstituted C₁-C₁₀ alkyl; substituted or unsubstituted C₁-C₈ alkyl; R²⁶-substituted or unsubstituted C₁-C₈ alkyl; substituted or unsubstituted C₁-C₅ alkyl; or R²⁶-substituted or unsubstituted C₁-C₅ alkyl.

In any embodiment or aspect described herein, R³ of PTM-VII is substituted or unsubstituted 2 to 20 membered heteroalkyl; R²⁶-substituted or unsubstituted 2 to 20 membered heteroalkyl; substituted or unsubstituted 2 to 10 membered heteroalkyl; R²⁶-substituted or unsubstituted 2 to 10 membered heteroalkyl; substituted or unsubstituted 2 to 8 membered heteroalkyl; R²⁶-substituted or unsubstituted 2 to 8 membered heteroalkyl; substituted or unsubstituted 2 to 6 membered heteroalkyl; or R²⁶-substituted or unsubstituted 2 to 6 membered heteroalkyl.

In any embodiment or aspect described herein, R³ of PTM-VII is substituted or unsubstituted 3 to 20 membered cycloalkyl; R²⁶-substituted or unsubstituted 3 to 20 membered cycloalkyl; substituted or unsubstituted 3 to 10 membered cycloalkyl; R²⁶-substituted or unsubstituted 3 to 10 membered cycloalkyl; substituted or unsubstituted 3 to 8 membered cycloalkyl; R²⁶-substituted or unsubstituted 3 to 8 membered cycloalkyl; substituted or unsubstituted 3 to 6 membered cycloalkyl; R²⁶-substituted or unsubstituted 3 to 6 membered cycloalkyl; substituted or unsubstituted 5 membered cycloalkyl; R26-substituted or unsubstituted 5 membered cycloalkyl; substituted or unsubstituted 6 membered cycloalkyl; or R²⁶-substituted or unsubstituted 6 membered cycloalkyl.

In any embodiment or aspect described herein, R³ of PTM-VII is substituted or unsubstituted 3 to 20 membered heterocycloalkyl; R²⁶-substituted or unsubstituted 3 to 20 membered heterocycloalkyl; substituted or unsubstituted 3 to 10 membered heterocycloalkyl; R²⁶-substituted or unsubstituted 3 to 10 membered heterocycloalkyl; substituted or unsubstituted 3 to 8 membered heterocycloalkyl; R²⁶-substituted or unsubstituted 3 to 8 membered heterocycloalkyl; substituted or unsubstituted 3 to 6 membered heterocycloalkyl; R²⁶-substituted or unsubstituted 3 to 6 membered heterocycloalkyl; substituted or unsubstituted 5 membered heterocycloalkyl; R²⁶-substituted or unsubstituted 5 membered heterocycloalkyl; substituted or unsubstituted 6 membered heterocycloalkyl; or R²⁶-substituted or unsubstituted 6 membered heterocycloalkyl.

In any embodiment or aspect described herein, R³ of PTM-VII is substituted or unsubstituted 5 to 10 membered aryl; R²⁶-substituted or unsubstituted 5 to 10 membered aryl; substituted or unsubstituted 5 to 8 membered aryl; R²⁶-substituted or unsubstituted 5 to 8 membered aryl; substituted or unsubstituted 6 membered aryl′ or R²⁶-substituted or unsubstituted 6 membered aryl.

In any embodiment or aspect described herein, R³ of PTM-VII is substituted or unsubstituted 5 to 10 membered heteroaryl; R²⁶-substituted or unsubstituted 5 to 10 membered heteroaryl; substituted or unsubstituted 5 to 8 membered heteroaryl; R²⁶-substituted or unsubstituted 5 to 8 membered heteroaryl; substituted or unsubstituted 6 membered heteroaryl; or R²⁶-substituted or unsubstituted 6 membered heteroaryl.

R²⁶ of PTM-VII is independently oxo, halogen, —CF₃, —CN, —OH, —NH₂, —COOH, —CONH₂, —NO₂, —SH, —SO₂Cl, —SO₃H, —SO₄H, —SO₂NH₂, —NHNH₂, —ONH₂, —NHC(O)NHNH₂, —NHC(O)NH₂, —NHSO₂H, —NHC(O)H, —NHC(O)OH, —NHOH, —OCF₃, —OCHF₂, R²⁷-substituted or unsubstituted alkyl, R²⁷-substituted or unsubstituted heteroalkyl, R²⁷-substituted or unsubstituted cycloalkyl, R²⁷-substituted or unsubstituted heterocycloalkyl, R²⁷-substituted or unsubstituted aryl, or R²⁷-substituted or unsubstituted heteroaryl. R²⁶ may independently be —OH. R²⁶ may independently be unsubstituted methyl. R²³ may independently be R²⁴-substituted or unsubstituted heteroalkyl. R²⁶ may independently be R²⁷-substituted or unsubstituted alkyl. R²⁶ may independently be R²⁷-substituted or unsubstituted C₁-C₄ alkyl.

R²⁷ of PTM-VII is independently oxo, halogen, —CF₃, —CN, —OH, —NH₂, —COOH, —CONH₂, —NO₂, —SH, —SO₂Cl, —SO₃H, —SO₄H, —SO₂NH₂, —NHNH₂, —ONH₂, —NHC(O)NHNH₂, —NHC(O)NH₂, —NHSO₂H, —NHC(O)H, —NHC(O)OH, —NHOH, —OCF₃, —OCHF₂, R²⁸-substituted or unsubstituted alkyl, R²⁸-substituted or unsubstituted heteroalkyl, R²⁸-substituted or unsubstituted cycloalkyl, R²⁸-substituted or unsubstituted heterocycloalkyl, R²⁸-substituted or unsubstituted aryl, or R²⁸-substituted or unsubstituted heteroaryl. R²⁷ may independently be —OH.

In any embodiment or aspects described herein, R² and R³ of PTM-VII are joined together to form: a substituted or unsubstituted heterocycloalkyl or substituted or unsubstituted heteroaryl; a substituted or unsubstituted heterocycloalkyl; a substituted or unsubstituted 3 to 8 membered heterocycloalkyl; a substituted 3 to 8 membered heterocycloalkyl; a substituted or unsubstituted 5 to 7 membered heterocycloalkyl; a substituted 5 to 7 membered heterocycloalkyl; a substituted or unsubstituted 4 membered heterocycloalkyl; a substituted or unsubstituted 5 membered heterocycloalkyl; or a substituted or unsubstituted 6 membered heterocycloalkyl.

In any embodiment or aspect described herein; R² and R³ of PTM-VII may be joined together to form: R²³-substituted or unsubstituted 5 to 7 membered heterocycloalkyl; R²³-substituted or unsubstituted 4 membered heterocycloalkyl; R²³-substituted or unsubstituted 5 to 7 membered heterocycloalkyl, wherein R²³ is independently a substituted or unsubstituted alkyl or substituted or unsubstituted heteroalkyl; or R²³-substituted 5 to 7 membered heterocycloalkyl, wherein R²³ is independently a substituted or unsubstituted C₁-C₈ alkyl or substituted or unsubstituted 2 to 8 membered heteroalkyl.

In any embodiment or aspect described herein, R² and R³ of PTM-VII are joined together to form: a substituted or unsubstituted pyrrolidinyl; a substituted or unsubstituted piperazinyl; R²³-substituted or unsubstituted pyrrolidinyl; or R²³-substituted or unsubstituted piperazinyl; wherein R²³ is as described herein, including embodiments thereof.

In any embodiment or aspect described herein, R⁴ of PTM-VII is independently R²⁹-substituted or unsubstituted alkyl, R²⁹-substituted or unsubstituted heteroalkyl, R²⁹-substituted or unsubstituted cycloalkyl, R²⁹-substituted or unsubstituted heterocycloalkyl, R²⁹-substituted or unsubstituted aryl, or R²⁹-substituted or unsubstituted heteroaryl.

In any embodiment or aspect described herein, R²⁹ of PTM-VII is independently oxo, halogen, —CF₃, —CN, —OH, —NH₂, —COOH, —CONH₂, —NO₂, —SH, —SO₂Cl, —SO₃H, —SO₄H, —SO₂NH₂, —NHNH₂, —ONH₂, —NHC(O)NHNH₂, —NHC(O)NH₂, —NHSO₂H, —NHC(O)H, —NHC(O)OH, —NHOH, —OCF₃, —OCHF₂, R²⁰-substituted or unsubstituted alkyl, R³⁰-substituted or unsubstituted heteroalkyl, R²⁰-substituted or unsubstituted cycloalkyl, R²⁰-substituted or unsubstituted heterocycloalkyl, R²⁰-substituted or unsubstituted aryl, or R³⁰-substituted or unsubstituted heteroaryl.

In any embodiment or aspect described herein, R³⁰ of PTM-VII is independently oxo, halogen, —CF₃, —CN, —OH, —NH₂, —COOH, —CONH₂, —NO₂, —SH, —SO₂Cl, —SO₃H, —SO₄H, —SO₂NH₂, —NHNH₂, —ONH₂, —NHC(O)NHNH₂, —NHC(O)NH₂, —NHSO₂H, —NHC(O)H, —NHC(O)OH, —NHOH, —OCF₃, —OCHF₂, R³¹-substituted or unsubstituted alkyl, R³¹-substituted or unsubstituted heteroalkyl, R³¹-substituted or unsubstituted cycloalkyl, R³¹-substituted or unsubstituted heterocycloalkyl, R³¹-substituted or unsubstituted aryl, or R³¹-substituted or unsubstituted heteroaryl.

R⁵ of PTM-VII may independently be hydrogen, halogen, —CF₃, —CCl₃, —CBr₃, —CI₃, —OCF₃, —OCCl₃, —OCBr₃, —OCI₃, —CN, —OH, —NH₂, —COOH, —C(O)OR⁹, —CONH₂, —NO₂, —SH, —NHNH₂, —NR⁷R⁸, —OR⁹, —SR⁹, substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl or substituted or unsubstituted heteroaryl. In any embodiment or aspect described herein, R⁵ is independently —F. In any embodiment or aspect described herein, R⁵ is independently —Cl. In any embodiment or aspect described herein, R⁵ is independently —I. In any embodiment or aspect described herein, R⁵ is independently —Br. In any embodiment or aspect described herein, R⁵ is —NR⁷R⁸.

In any embodiment or aspect described herein, R⁵ of PTM-VII is —C(O)OCH₃. In any embodiment or aspect described herein, R⁵ of PTM-VII is —OCH₃. In any embodiment or aspect described herein, R⁵ of PTM-VII is —OCH(CH₃)₂. In any embodiment or aspect described herein, R⁵ of PTM-VII is —CN. In any embodiment or aspect described herein, R⁵ of PTM-VII is —NO₂. In embodiments, R⁵ is —NH₂. In any embodiment or aspect described herein, R⁵ of PTM-VII is halogen. In any embodiment or aspect described herein, R⁵ of PTM-VII is independently hydrogen. In any embodiment or aspect described herein, R⁵ of PTM-VII is independently unsubstituted methyl. In any embodiment or aspect described herein, R⁵ of PTM-VII is independently —OCF₃. In any embodiment or aspect described herein, R⁵ of PTM-VII is independently —NHAc. In any embodiment or aspect described herein, R⁵ of PTM-VII is independently —OH. In any embodiment or aspect described herein, R⁵ of PTM-VII is unsubstituted alkyl. R⁵ of PTM-VII may be unsubstituted C₁-C₈ alkyl. In any embodiment or aspect described herein, R⁵ of PTM-VII is unsubstituted C₁-C₄ alkyl. R⁵ of PTM-VII may be unsubstituted ethyl. In any embodiment or aspect described herein, R⁵ of PTM-VII is an unsubstituted methyl. In any embodiment or aspect described herein, R⁵ is independently hydrogen, halogen, —CF₃, —CN, —OH, —NH₂, —COOH, —CONH₂, —NO₂, —SH, —NHNH₂, —OCF₃, —OCHF₂, R³²-substituted or unsubstituted alkyl, R³²-substituted or unsubstituted heteroalkyl, R³²-substituted or unsubstituted cycloalkyl, R³²-substituted or unsubstituted heterocycloalkyl, R³²-substituted or unsubstituted aryl, or R³²-substituted or unsubstituted heteroaryl. In any embodiment or aspect described herein, R⁵ is independently halogen, —CF₃, —CN, —OH, —NH₂, —COOH, —CONH₂, —NO₂, —SH, —NHNH₂, —OCF₃, —OCHF₂, R³²-substituted or unsubstituted alkyl, R³²-substituted or unsubstituted heteroalkyl, R³²-substituted or unsubstituted cycloalkyl, R³²-substituted or unsubstituted heterocycloalkyl, R³²-substituted or unsubstituted aryl, or R³²-substituted or unsubstituted heteroaryl. In embodiments R⁵ is not hydrogen.

Each R³² of PTM-VII is independently oxo, halogen, —CF₃, —CN, —OH, —NH₂, —COOH, —CONH₂, —NO₂, —SH, —SO₂Cl, —SO₃H, —SO₄H, —SO₂NH₂, —NHNH₂, —ONH₂, —NHC(O)NHNH₂, —NHC(O)NH₂, —NHSO₂H, —NHC(O)H, —NHC(O)OH, —NHOH, —OCF₃, —OCHF₂, R³³-substituted or unsubstituted alkyl, R³³-substituted or unsubstituted heteroalkyl, R³³-substituted or unsubstituted cycloalkyl, R³³-substituted or unsubstituted heterocycloalkyl, R³³-substituted or unsubstituted aryl, or R³³-substituted or unsubstituted heteroaryl.

Each R³³ of PTM-VII is independently oxo, halogen, —CF₃, —CN, —OH, —NH₂, —COOH, —CONH₂, —NO₂, —SH, —SO₂Cl, —SO₃H, —SO₄H, —SO₂NH₂, —NHNH₂, —ONH₂, —NHC(O)NHNH₂, —NHC(O)NH₂, —NHSO₂H, —NHC(O)H, —NHC(O)OH, —NHOH, —OCF₃, —OCHF₂, R³⁴-substituted or unsubstituted alkyl, R³⁴-substituted or unsubstituted heteroalkyl, R³⁴-substituted or unsubstituted cycloalkyl, R³⁴-substituted or unsubstituted heterocycloalkyl, R³⁴-substituted or unsubstituted aryl, or R³⁴-substituted or unsubstituted heteroaryl.

R⁶ of PTM-VII may independently be hydrogen, halogen, —CF₃, —CCl₃, —CBr₃, —CI₃, —OCF₃, —OCCl₃, —OCBr₃, —OCl₃, —CN, —OH, —NH₂, —COOH, —C(O)OR⁹, —CONH₂, —NO₂, —SH, —NHNH₂, —NR⁷R⁸, —OR⁹, —SR⁹, substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl or substituted or unsubstituted heteroaryl. In embodiments, R⁶ is independently —F. In any embodiment or aspect described herein, R⁶ is independently —Cl. In any embodiment or aspect described herein, R⁶ is independently —I. In any embodiment or aspect described herein, R⁶ is independently —Br. In any embodiment or aspect described herein, R⁶ is —NR⁷R⁸.

In any embodiment or aspect described herein, R⁶ of PTM-VII is —C(O)OCH₃. In any embodiment or aspect described herein, R⁶ is —OCH₃. In any embodiment or aspect described herein, R⁶ is —OCH(CH3)₂. In any embodiment or aspect described herein, R⁶ is —CN. In any embodiment or aspect described herein, R⁶ is —NO₂. In any embodiment or aspect described herein, R⁶ is —NH₂. In any embodiment or aspect described herein, R⁶ is halogen. In any embodiment or aspect described herein, R⁶ is independently hydrogen. In any embodiment or aspect described herein, R⁶ is independently unsubstituted methyl. In any embodiment or aspect described herein, R⁶ is independently —OCF₃. In any embodiment or aspect described herein, R⁶ is independently —NHAc. In any embodiment or aspect described herein, R⁶ of PTM-VII is independently —OH. In any embodiment or aspect described herein, R⁶ of PTM-VII is unsubstituted alkyl. R⁶ may be unsubstituted C₁-C₈ alkyl. In any embodiment or aspect described herein, R⁶ of PTM-VII is unsubstituted C₁-C₄ alkyl. R⁶ of PTM-VII may be unsubstituted ethyl. In any embodiment or aspect described herein, R⁶ of PTM-VII is an unsubstituted methyl. In any embodiment or aspect described herein, R⁶ of PTM-VII is independently hydrogen, halogen, —CF₃, —CN, —OH, —NH₂, —COOH, —CONH₂, —NO₂, —SH, —NHNH₂, —OCF₃, —OCHF₂, R³⁵-substituted or unsubstituted alkyl, R³⁵-substituted or unsubstituted heteroalkyl, R³⁵-substituted or unsubstituted cycloalkyl, R³⁵-substituted or unsubstituted heterocycloalkyl, R³⁵-substituted or unsubstituted aryl, or R³⁵-substituted or unsubstituted heteroaryl. In embodiments, R⁶ of PTM-VII is independently halogen, —CF₃, —CN, —OH, —NH₂, —COOH, —CONH₂, —NO₂, —SH, —NHNH₂, —OCF₃, —OCHF₂, R³⁵-substituted or unsubstituted alkyl, R³⁵-substituted or unsubstituted heteroalkyl, R³⁵-substituted or unsubstituted cycloalkyl, R³⁵-substituted or unsubstituted heterocycloalkyl, R³⁵-substituted or unsubstituted aryl, or R³⁵-substituted or unsubstituted heteroaryl. In any embodiment or aspect described herein, R⁵ and R⁶ of PTM-VII are independently hydrogen. In any embodiment or aspect described herein, R⁶ of PTM-VII is hydrogen. In any embodiment or aspect described herein, R⁶ of PTM-VII is not hydrogen.

Each R³⁵ of PTM-VII is independently oxo, halogen, —CF₃, —CN, —OH, —NH₂, —COOH, —CONH₂, —NO₂, —SH, —SO₂Cl, —SO₃H, —SO₄H, —SO₂NH₂, —NHNH₂, —ONH₂, —NHC(O)NHNH₂, —NHC(O)NH₂, —NHSO₂H, —NHC(O)H, —NHC(O)OH, —NHOH, —OCF₃, —OCHF₂, R³⁶-substituted or unsubstituted alkyl, R³⁶-substituted or unsubstituted heteroalkyl, R³⁶-substituted or unsubstituted cycloalkyl, R³⁶-substituted or unsubstituted heterocycloalkyl, R³⁶-substituted or unsubstituted aryl, or R³⁶-substituted or unsubstituted heteroaryl.

Each R³⁶ of PTM-VII is independently oxo, halogen, —CF₃, —CN, —OH, —NH₂, —COOH, —CONH₂, —NO₂, —SH, —SO₂Cl, —SO₃H, —SO₄H, —SO₂NH₂, —NHNH₂, —ONH₂, —NHC(O)NHNH₂, —NHC(O)NH₂, —NHSO₂H, —NHC(O)H, —NHC(O)OH, —NHOH, —OCF₃, —OCHF₂, R³⁷-substituted or unsubstituted alkyl, R³⁷-substituted or unsubstituted heteroalkyl, R³⁷-substituted or unsubstituted cycloalkyl, R³⁷-substituted or unsubstituted heterocycloalkyl, R³⁷-substituted or unsubstituted aryl, or R³⁷-substituted or unsubstituted heteroaryl.

In any embodiment or aspect described herein, R⁷ of PTM-VII is independently hydrogen, oxo, halogen, —CF₃, —CN, —OH, —NH₂, —COOH, —CONH₂, —NO₂, —SH, —SO₂Cl, —SO₃H, —SO₄H, —SO₂NH₂, —NHNH₂, —ONH₂, —NHC(O)NHNH₂, —NHC(O)NH₂, —NHSO₂H, —NHC(O)H, —NHC(O)OH, —NHOH, —OCF₃, —OCHF₂, R³⁸-substituted or unsubstituted alkyl, R³⁸-substituted or unsubstituted heteroalkyl, R³⁸-substituted or unsubstituted cycloalkyl, R³⁸-substituted or unsubstituted heterocycloalkyl, R³⁸-substituted or unsubstituted aryl, or R³⁸-substituted or unsubstituted heteroaryl.

R³⁸ of PTM-VII is independently oxo, halogen, —CF₃, —CN, —OH, —NH₂, —COOH, —CONH₂, —NO₂, —SH, —SO₂Cl, —SO₃H, —SO₄H, —SO₂NH₂, —NHNH₂, —ONH₂, —NHC(O)NHNH₂, —NHC(O)NH₂, —NHSO₂H, —NHC(O)H, —NHC(O)OH, —NHOH, —OCF₃, —OCHF₂, —S(O)₂CHCH₂, —NHS(O)₂CHCH₂, R³⁹-substituted or unsubstituted alkyl, R³⁹-substituted or unsubstituted heteroalkyl, R³⁹-substituted or unsubstituted cycloalkyl, R³⁹-substituted or unsubstituted heterocycloalkyl, R³⁹-substituted or unsubstituted aryl, or R³⁹-substituted or unsubstituted heteroaryl. R³⁸ may independently be —OH. R³⁸ may independently be unsubstituted methyl. R³⁸ may independently be R³⁹-substituted or unsubstituted heteroalkyl. R³⁸ may independently be R³⁹-substituted or unsubstituted alkyl. R³⁸ may independently be R³⁹-substituted or unsubstituted C₁-C₄ alkyl.

R³⁹ of PTM-VII is independently oxo, halogen, —CF₃, —CN, —OH, —NH₂, —COOH, —CONH₂, —NO₂, —SH, —SO₂Cl, —SO₃H, —SO₄H, —SO₂NH₂, —NHNH₂, —ONH₂, —NHC(O)NHNH₂, —NHC(O)NH₂, —NHSO₂H, —NHC(O)H, —NHC(O)OH, —NHOH, —OCF₃, —OCHF₂, —S(O)₂CHCH₂, —NHS(O)₂CHCH₂, R⁴⁰-substituted or unsubstituted alkyl, R⁴⁰-substituted or unsubstituted heteroalkyl, R⁴⁰-substituted or unsubstituted cycloalkyl, R⁴⁰-substituted or unsubstituted heterocycloalkyl, R⁴⁰-substituted or unsubstituted aryl, or R⁴⁰-substituted or unsubstituted heteroaryl.

In embodiments, R⁸ of PTM-VII is independently hydrogen, oxo, halogen, —CF₃, —CN, —OH, —NH₂, —COOH, —CONH₂, —NO₂, —SH, —SO₂Cl, —SO₃H, —SO₄H, —SO₂NH₂, —NHNH₂, —ONH₂, —NHC(O)NHNH₂, —NHC(O)NH₂, —NHSO₂H, —NHC(O)H, —NHC(O)OH, —NHOH, —OCF₃, —OCHF₂, R⁴¹-substituted or unsubstituted alkyl, R₄₁-substituted or unsubstituted heteroalkyl, R⁴¹-substituted or unsubstituted cycloalkyl, R₄₁-substituted or unsubstituted heterocycloalkyl, R⁴¹-substituted or unsubstituted aryl, or R⁴¹-substituted or unsubstituted heteroaryl.

R⁴¹ of PTM-VII is independently oxo, halogen, —CF₃, —CN, —OH, —NH₂, —COOH, —CONH₂, —NO₂, —SH, —SO₂Cl, —SO₃H, —SO₄H, —SO₂NH₂, —NHNH₂, —ONH₂, —NHC(O)NHNH₂, —NHC(O)NH₂, —NHSO₂H, —NHC(O)H, —NHC(O)OH, —NHOH, —OCF₃, —OCHF₂, —S(O)₂CHCH₂, —NHS(O)₂CHCH₂, R⁴²-substituted or unsubstituted alkyl, R⁴²-substituted or unsubstituted heteroalkyl, R⁴²-substituted or unsubstituted cycloalkyl, R⁴²-substituted or unsubstituted heterocycloalkyl, R⁴²-substituted or unsubstituted aryl, or R⁴²-substituted or unsubstituted heteroaryl.

R⁴² of PTM-VII is independently oxo, halogen, —CF₃, —CN, —OH, —NH₂, —COOH, —CONH₂, —NO₂, —SH, —SO₂Cl, —SO₃H, —SO₄H, —SO₂NH₂, —NHNH₂, —ONH₂, —NHC(O)NHNH₂, —NHC(O)NH₂, —NHSO₂H, —NHC(O)H, —NHC(O)OH, —NHOH, —OCF₃, —OCHF₂, —S(O)₂CHCH₂, —NHS(O)₂CHCH₂, R⁴³-substituted or unsubstituted alkyl, R⁴³-substituted or unsubstituted heteroalkyl, R⁴³-substituted or unsubstituted cycloalkyl, R⁴³-substituted or unsubstituted heterocycloalkyl, R⁴³-substituted or unsubstituted aryl, or R⁴³-substituted or unsubstituted heteroaryl.

In embodiments, R⁷ and R⁸ of PTM-VII are joined together to form: a substituted or unsubstituted heterocycloalkyl or substituted or unsubstituted heteroaryl; a substituted or unsubstituted heterocycloalkyl; a substituted or unsubstituted 3 to 8 membered heterocycloalkyl; a substituted 3 to 8 membered heterocycloalkyl; a substituted or unsubstituted 5 to 7 membered heterocycloalkyl; a substituted 5 to 7 membered heterocycloalkyl; an R³⁸-substituted 5 to 7 membered heterocycloalkyl, wherein R³⁸ is as described herein above; an R³⁸-substituted 5 to 7 membered heterocycloalkyl, wherein R³⁸ is independently a substituted or unsubstituted alkyl or substituted or unsubstituted heteroalkyl; an R³⁸-substituted 5 to 7 membered heterocycloalkyl, wherein R³⁸ is independently a substituted or unsubstituted C₁-C₈ alkyl or substituted or unsubstituted 2 to 8 membered heteroalkyl; a substituted or unsubstituted pyrrolidinyl; or a substituted or unsubstituted piperazinyl.

In embodiments, R⁹ of PTM-VII is independently hydrogen, oxo, halogen, —CF₃, —CN, —OH, —NH₂, —COOH, —CONH₂, —NO₂, —SH, —SO₂Cl, —SO₃H, —SO₄H, —SO₂NH₂, —NHNH₂, —ONH₂, —NHC(O)NHNH₂, —NHC(O)NH₂, —NHSO₂H, —NHC(O)H, —NHC(O)OH, —NHOH, —OCF₃, —OCHF₂, R⁴⁴-substituted or unsubstituted alkyl, R⁴⁴-substituted or unsubstituted heteroalkyl, R⁴⁴-substituted or unsubstituted cycloalkyl, R⁴⁴-substituted or unsubstituted heterocycloalkyl, R⁴⁴-substituted or unsubstituted aryl, or R⁴⁴-substituted or unsubstituted heteroaryl.

R⁴⁴ of PTM-VII is independently oxo, halogen, —CF₃, —CN, —OH, —NH₂, —COOH, —CONH₂, —NO₂, —SH, —SO₂Cl, —SO₃H, —SO₄H, —SO₂NH₂, —NHNH₂, —ONH₂, —NHC(O)NHNH₂, —NHC(O)NH₂, —NHSO₂H, —NHC(O)H, —NHC(O)OH, —NHOH, —OCF₃, —OCHF₂, R⁴⁵-substituted or unsubstituted alkyl, R⁴⁵-substituted or unsubstituted heteroalkyl, R⁴⁵-substituted or unsubstituted cycloalkyl, R⁴⁵-substituted or unsubstituted heterocycloalkyl, R⁴⁵-substituted or unsubstituted aryl, or R⁴⁵-substituted or unsubstituted heteroaryl.

R^(45 of PTM-VII) is independently oxo, halogen, —CF₃, —CN, —OH, —NH₂, —COOH, —CONH₂, —NO₂, —SH, —SO₂Cl, —SO₃H, —SO₄H, —SO₂NH₂, —NHNH₂, —ONH₂, —NHC(O)NHNH₂, —NHC(O)NH₂, —NHSO₂H, —NHC(O)H, —NHC(O)OH, —NHOH, —OCF₃, —OCHF₂, R⁴⁶-substituted or unsubstituted alkyl, R⁴⁶-substituted or unsubstituted heteroalkyl, R⁴⁶-substituted or unsubstituted cycloalkyl, R⁴⁶-substituted or unsubstituted heterocycloalkyl, R⁴⁶-substituted or unsubstituted aryl, or R⁴⁶-substituted or unsubstituted heteroaryl.

Each R²², R²⁵, R²⁸, R³¹, R³⁴, R³⁷, R⁴⁰, R⁴³, R⁴⁶, and R⁴⁹ of PTM-VII is independently oxo, halogen, —CF₃, —CN, —OH, —NH₂, —COOH, —CONH₂, —NO₂, —SH, —SO₂Cl, —SO₃H, —SO₄H, —SO₂NH₂, —NHNH₂, —ONH₂, —NHC(O)NHNH₂, —NHC(O)NH₂, —NHSO₂H, —NHC(O)H, —NHC(O)OH, —NHOH, —OCF₃, —OCHF₂, unsubstituted alkyl, unsubstituted heteroalkyl, unsubstituted cycloalkyl, unsubstituted heterocycloalkyl, unsubstituted aryl, or unsubstituted heteroaryl.

In certain embodiments, the PTM of PTM-VII is selected from the group consisting of:

In an embodiment, the PTM is represented by Formula PTM-VIII (which correspond to General Formula 1 from U.S. Patent Application Publication No. 2015/0045339 A1, which is incorporated herein in its entirety for all purposes):

wherein:

R¹ of PTM-VIII is a hydrogen atom or a substituted or unsubstituted C₁₋₆ alkyl group;

R² of PTM-VIII is a hydrogen atom, a substituted or unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted C₂₋₆ alkenyl group, or a substituted or unsubstituted C₂₋₆ alkynyl group;

R³ of PTM-VIII is a hydrogen atom, a substituted or unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted C₂₋₆ alkenyl group, or a substituted or unsubstituted C₂₋₆ alkynyl group;

or R² and R³ of PTM-VIII may bind together to form an atomic bond;

R⁴ of PTM-VIII is a hydrogen atom, a substituted or unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted C₂₋₆ alkenyl group, a substituted or unsubstituted C₂₋₆ alkynyl group, a substituted or unsubstituted C₃₋₈ cycloalkyl group, or an imino protecting group;

m of R⁵ of PTM-VIII are the same or different, and is a hydrogen atom or a substituted or unsubstituted C₁₋₆ alkyl group;

m of R⁶ of PTM-VIII are the same or different, and is a hydrogen atom or a substituted or unsubstituted C₁₋₆ alkyl group;

or R⁵ and R⁶ of PTM-VIII binding to the same carbon atom may bind together to form: a substituted or unsubstituted C₂₋₆ alkylene group; an substituted or unsubstituted 0-(C₁₋₆ alkylene) group, a substitute or unsubstituted N(R¹³)—(C₁₋₆ alkylene) group, wherein R¹³ is a hydrogen atom, a substituted or unsubstituted C₁₋₆ alkyl group or an imino protecting group; a substituted or unsubstituted (C₁₋₃ alkylene)-O—(C₁₋₃ alkylene) group; a substitute or unsubstituted (C₁₋₃ alkylene)-N(R¹³)—(C₁₋₃ alkylene) group, wherein R¹³ is a hydrogen atom, a substituted or unsubstituted C₁₋₆ alkyl group or an imino protecting group;

n of R⁷ of PTM-VIII are the same or different, and is a hydrogen atom or a substitute or unsubstituted C₁₋₆ alkyl group;

n of R⁸ of PTM-VIII are the same or different, and is a hydrogen atom or a substitute or unsubstituted C₁₋₆ alkyl group;

or R⁷ and R⁸ of PTM-VIII binding to the same carbon atom may bind together to form: a substituted or unsubstituted C₂₋₆ alkylene group; an substituted or unsubstituted O—(C₁₋₆ alkylene) group; a substituted or unsubstituted N(R¹⁴)—(C₁₋₆ alkylene) group, wherein R¹⁴ is a hydrogen atom, a substituted or unsubstituted C₁₋₆ alkyl group, or an imino protecting group; a substituted or unsubstituted (C₁₋₃ alkylene)-O—(C₁₋₃ alkylene) group; or a substituted or unsubstituted (C₁₋₃ alkylene)-N(R¹⁴)—(C₁₋₃ alkylene) group which may be substituted, wherein R¹⁴ is a hydrogen atom, a substituted or unsubstituted C₁₋₆ alkyl group, or an imino protecting group;

R⁹ of PTM-VIII is: a substituted or unsubstituted C₁₋₆ alkyl group; a substituted or unsubstituted C₃₋₈ cycloalkyl; a substituted or unsubstituted aryl group; a substituted or unsubstituted C₁₋₆ alkoxy group; a substituted or unsubstituted heterocyclic group; N(R15)(R16) wherein R¹⁵ is a hydrogen atom, a substituted or unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted C₂₋₆ alkenyl group, a substituted or unsubstituted C₂₋₆ alkynyl group, or a substituted or unsubstituted C₃₋₈ cycloalkyl group, and R¹⁶ is a substituted or unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted C₂₋₆ alkenyl group, a substituted or unsubstituted C₂₋₆ alkynyl group, a substituted or unsubstituted C₃₋₈ cycloalkyl group, a substituted or unsubstituted aryl group, or a substituted or unsubstituted heterocyclic group, or R¹⁵ and R¹⁶ may form a substituted or unsubstituted cyclic amino group together with the nitrogen atom to which they bind;

R¹⁰ of PTM-VIII is a hydrogen atom, a halogen atom, a substituted or unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted C₃₋₈ cycloalkyl group, a substituted or unsubstituted aryl group, a substituted or unsubstituted C₁₋₆ alkoxy group, or a substituted or unsubstituted heterocyclic group;

R¹¹ of PTM-VIII is a hydrogen atom, a substituted or unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted C₂₋₆ alkenyl group, a substituted or unsubstituted C₂₋₆ alkynyl group, or a substituted or unsubstituted C₃₋₈ cycloalkyl group;

R¹² of PTM-VIII is a substituted or unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted C₂₋₆ alkenyl group, a substituted or unsubstituted C₂₋₆ alkynyl group, a substituted or unsubstituted C₃₋₈ cycloalkyl group, a substituted or unsubstituted aryl group, a substituted or unsubstituted heterocyclic group, or a substituted or unsubstituted carbamoyl group;

X¹ of PTM-VIII represents a group represented by —X⁴—X⁵—, wherein X⁴ is a substituted or unsubstituted divalent alicyclic hydrocarbon, a substituted or unsubstituted divalent aromatic hydrocarbon group, a substituted or unsubstituted divalent heterocyclic group, or a group represented by

wherein p of R¹⁷ are the same or different, and is a hydrogen atom or a substituted or unsubstituted C₁₋₆ alkyl group, or one R¹⁷ selected from p of R¹⁷ may bind with R⁴ to form: a substituted or unsubstituted C₁₋₆ alkylene group: a substituted or unsubstituted (C₁₋₃ alkylene)-O group: a substituted or unsubstituted (C₁₋₃ alkylene)-N(R¹⁹) group, wherein R¹⁹ is a hydrogen atom, substituted or unsubstituted a C₁₋₆ alkyl group, or an imino protecting group; a substituted or unsubstituted (C₁₋₃ alkylene)-O—(C₁₋₃ alkylene) group; a substituted or unsubstituted (C₁₋₃ alkylene)-N(R¹⁹)—(C₁₋₃ alkylene) group, wherein R¹⁹ is a hydrogen atom, substituted or unsubstituted a C₁₋₆ alkyl group, or an imino protecting group; p of R¹⁸ are the same or different, and is a hydrogen atom or a substituted or unsubstituted C₁₋₆ alkyl group; or R¹⁷ and R¹⁸ binding to the same carbon atom may bind together to form: a substituted or unsubstituted C₂₋₆ alkylene group, a substituted or unsubstituted O—(C₁₋₆ alkylene); a substituted or unsubstituted N(R²⁰)—(C₁₋₆ alkylene) group, wherein R²⁰ is a hydrogen atom; a substituted or unsubstituted C₁₋₆ alkyl group or an imino protecting group; a substituted or unsubstituted (C₁₋₃ alkylene)-O—(C₁₋₃ alkylene) group; a substituted or unsubstituted (C₁₋₃ alkylene)-N(R²⁰)—(C₁₋₃ alkylene), wherein R²⁰ is a hydrogen atom; a substituted or unsubstituted C₁₋₆ alkyl group or an imino protecting group; and p represents an integer of 1 to 6; or an atomic bond; and X⁵ is an oxygen atom, N(R²¹) wherein R²¹ is a hydrogen atom, a substituted or unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted C₂₋₆ alkenyl group, a substituted or unsubstitute C₂₋₆ alkynyl group or an imino protecting group, or R²¹ may bind with R⁴ to form a substitute or unsubstituted C₁₋₆ alkylene group; C(═O); C(═O)—N(R²¹) wherein R²¹ is a hydrogen atom, a substituted or unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted C₂₋₆ alkenyl group, a substituted or unsubstitute C₂₋₆ alkynyl group or an imino protecting group; or an atomic bond;

X² of PTM-VIII is a bond, a substituted or unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted C₁₋₆ alkylene group, a substituted or unsubstituted divalent alicyclic hydrocarbon group, a substituted or unsubstituted divalent aromatic hydrocarbon, or a substituted or unsubstituted divalent heterocyclic group;

X³ of PTM-VIII is a substituted or unsubstituted C₁₋₆ alkylene group, a substituted or unsubstituted C₂₋₆ alkenylene group, a substituted or unsubstituted C₂₋₆ alkynylene group, a substituted or unsubstituted O—(C₁₋₆ alkylene) group, a substituted or unsubstituted S(O)_(q)—(C₁₋₆ alkylene) group wherein q represents 0, 1 or 2; a substituted or unsubstituted N(R²²)—(C₁₋₆ alkylene) group wherein R²² is a hydrogen atom, a substituted or unsubstitute C₁₋₆ alkyl group, a substituted or unsubstituted C₂₋₆ alkenyl group, a substitute or unsubstituted C₂₋₆ alkynyl group or an imino protecting group; N(R²²)—C(═O) wherein R²² is a hydrogen atom, a substituted or unsubstitute C₁₋₆ alkyl group, a substituted or unsubstituted C₂₋₆ alkenyl group, a substitute or unsubstituted C₂₋₆ alkynyl group or an imino protecting group; or an atomic bond;

Z¹ of PTM-VIII is a nitrogen atom or C(R²³) wherein R²³ is a hydrogen atom, a halogen atom, a substituted or unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted C₃₋₈ cycloalkyl group, a substituted or unsubstituted aryl group, a substituted or unsubstituted C₁₋₆ alkoxy group or substituted or unsubstituted a heterocyclic group;

m of PTM-VIII is an integer of 0, 1, 2, 3, 4, 5, or 6;

n of PTM-VIII is an integer of 0, 1, 2, 3, 4, 5, or 6); and

the PTM-VIII is covalently joined to a ULM, a chemical linker group (L), a CLM, an ILM, a VLM, MLM, a ULM′, a CLM′, a ILM′, a VLM′, a MLM′, or combination thereof.

In any aspect or embodiment described herein, the PTM-VIII is covalently joined to a ULM, a chemical linker group (L), a CLM, an ILM, a VLM, MLM, a ULM′, a CLM′, a ILM′, a VLM′, a MLM′, or combination thereof via an R group (e.g., R¹, R², R³, R⁴, R⁵, R⁶, R⁷, R⁸, R⁹, R¹⁰, R¹¹, R¹², R¹³, R¹⁴, R¹⁵, R¹⁶, R¹⁷, R¹⁸, R¹⁹, R²⁰, R²¹, R²², or R²³).

In any embodiment or aspect described herein, Z¹ of PTM-VIII is nitrogen atom.

In any embodiment or aspect described herein, X³ of PTM-VIII is s a substitute or unsubstituted C₂₋₆ alkynylene group or N(R²²)—C(═O), wherein R²² is a hydrogen atom, a substituted or unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted C₂₋₆ alkenyl group, a substituted or unsubstituted C₂₋₆ alkynyl group or an imino protecting group.

In any embodiment or aspect described herein, X³ of PTM-VIII ethynylene group.

In any embodiment or aspect described herein, R′ of PTM-VIII is a hydrogen atom, and R² is a substitute or unsubstituted C₁₋₆ alkyl group.

In any embodiment or aspect described herein, R′ PTM-V III is a hydrogen atom, and R² is a C₁₋₆ alkyl group substituted with a di(C₁₋₆alkyl)amino group.

In any embodiment or aspect described herein, R⁹ of PTM-VIII is N(R¹⁵)(R¹⁶) therein R¹⁵ is a hydrogen atom, a substituted or unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted C₂₋₆ alkenyl group, a substituted or unsubstituted C₂₋₆ alkynyl group or a substituted or unsubstituted C₃₋₈ cycloalkyl group, and R¹⁶ is a substituted or unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted. C₂₋₆ alkenyl group, a substituted or unsubstituted C₂₋₆ alkynyl group, a substituted or unsubstituted C₃₋₈ cycloalkyl group, a substituted or unsubstituted aryl group or a substituted or unsubstituted heterocyclic group, or R¹⁵ and R¹⁶ may form a substitute or unsubstitute cyclic amino group together with the nitrogen atom to which they bind.

In any embodiment or aspect described herein, R¹⁵ of PTM-VIII is a hydrogen atom, and R¹⁶ is a substituted or unsubstituted C₁₋₆ alkyl group.

In any embodiment or aspect described herein, R¹¹ of PTM-VIII is a hydrogen atom, and R¹² is a substituted or unsubstituted aryl group or a substituted or unsubstituted heterocyclic group.

In any embodiment or aspect described herein, R¹¹ of PTM-VIII is a hydrogen atom, and R¹² is substituted or unsubstituted phenyl group, a substituted or unsubstituted pyridyl group, a substituted or unsubstituted pyrazolyl group, substituted or unsubstituted thienyl group, a substituted or unsubstituted oxazolyl group, a substituted or unsubstituted thiazolyl group, a substituted or unsubstituted isothiazolyl group, a substituted or unsubstituted indazolyl group, a substituted or unsubstituted pyrazolopyridinyl group, a substituted or unsubstituted quinolyl group, a substituted or unsubstituted isoquinolyl group, a substituted or unsubstituted cinnolinyl group, a substituted or unsubstituted phthalazinyl group, a substituted or unsubstituted quinoxalinyl group, a substituted or unsubstituted benzofuranyl group or a substituted or unsubstituted benzothiazolyl group.

In any aspect or embodiment described herein, R⁴ of PTM-VIII is a hydrogen atom or a substituted or unsubstituted C₁₋₆ alkyl group.

In any aspect or embodiment described herein, R⁴ of PTM-VIII is a hydrogen atom or methyl group.

In any aspect or embodiment described herein, X² of PTM-VIII is a substituted or unsubstituted C₁₋₆ alkylene group or a substituted or unsubstituted divalent alicyclic hydrocarbon group.

In any aspect or embodiment described herein, X² of PTM-VIII is a group represented by —X⁴—X⁵—, wherein X⁴ is a group represented by

and p of R¹⁷ are the same or different and is a hydrogen atom or a substituted or unsubstituted C₁₋₆ alkyl group, p of R¹⁸ are the same or different and is a hydrogen atom or a substituted or unsubstituted C₁₋₆ alkyl group, and p is an integer of 1, 2, 3, 4, 5, or 6, and X⁵ is C(═O)—N(R²¹) wherein R²¹ is a hydrogen atom.

In any aspect or embodiment described herein, R³ of PTM-VIII is a hydrogen atom or a substituted or unsubstituted C₁₋₆ alkyl group.

In any aspect or embodiment described herein, at east one of R³, R⁶, R⁷ and R⁸ of PTM-VIII is a hydrogen atom.

In any aspect or embodiment described herein, R¹⁰ of PTM-VIII is a hydrogen atom.

In any aspect or embodiment described herein, the PTM of PTM-VIII is selected from the group consisting of: (S,E)-N-(3-(2-(4-(Dimethylamino)-N-methyl-2-butenamido)propanamido)phenyl)-4-(propylamino)-2-((2-(pyridin-4-yl)ethyl)amino)pyrimidine-5-carboxamide [PTM-VIII-1]; (S,E)-2-((4-Carbamoylphenyl)amino)-N-(3-(2-(4-(dimethylamino)-N-methyl-2-butenamido)propanamido)phenyl)-4-(propylamino)pyrimidine-5-carboxamide [PTM-VIII-2]; (E)-2-((4-Carbamoylphenyl)amino)-N-(3-(2-(4-(dimethylamino)-N-methyl-2-butenamido)actamido)cyclohexyl)-4-(propylamino)pyrimidine-5-carboxamide [PTM-VIII-3]; (S,E)-2-((4-Carbamoylphenyl)amino)-N-(3-(2-(4-(diethylamino)-N-methyl-2-butenamido)propanamido)phenyl)-4-(propylamino)pyrimidine-5-carboxamide [PTM-VIII-4]; (S,E)-2-((4-Carbamoylphenyl)amino)-N-(3-(2-(4-(dimethylamino)-N-methyl-2-butenamido)propaneamido)propyl)-4-(propylamino)pyrimidine-5-carboxamide [PTM-VIII-5]; (S,E)-N-(3-(2-(4-(Dimethylamino)-N-methyl-2-butenamido)propanamido)phenyl)-2-(isoquinolin-6-ylamino)-4-(propylamino)pyrimidine-5-carboxamide [PTM-VIII-6]; (S,E)-2-(Cinnolin-6-ylamino)-N-(3-(2-(4-(dimethylamino)-N-methyl-2-butenamido)propanamido)phenyl)-4-(propylamino)pyrimidine-5-carboxamide [PTM-VIII-7]; (S,E)-4-(Dimethylamino)-N-(1-((5-(2-((3-fluorophenyl)amino)-4-(propylamino)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-1-oxopropan-2-yl)-N-methyl-2-butenamide [PTM-VIII-8]; (S,E)-N-(1-((5-(2-((3-Cyanophenyl)amino)-4-(propylamino)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-1-oxopropan-2-yl)-4-(dimethylamino)-N-methyl-2-butenamide [PTM-VIII-9]; (S,E)-4-((5-(5-(2-(4-(Dimethylamino)-N-methyl-2-butenamido)propaneamido)-1-pentyn-1-yl)-4-(propylamino)pyrimidin-2-yl)amino)benzamide IPTM-VIII-101; (S,E)-N-(1-((5-(2-((4-Cyanophenyl)amino)-4-(propylamino)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-1-oxopropan-2-yl)-4-(dimethylamino)-N-methyl-2-butenamide [PTM-VIII-11]; (E)-4-(Dimethylamino)-N-(2-((5-(2-((4-fluorophenyl)amino)-4-(propylamino)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-2-oxoethyl)-N-methyl-2-butenamide [PTM-VIII-12]; (E)-N-(2-((5-(2-((4-Cyanophenyl)amino)-4-(propylamino)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-2-oxoethyl)-4-(dimethylamino)-N-methyl-2-butenamide [PTM-VIII-13]; (S,E)-4-(Dimethylamino)-N-(1-((5-(2-(3-fluorophenyl)amino)-4-(propylamino)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-1-oxobutan-2-yl)-N-methyl-2-butenamide [PTM-VIII-14]; (S,E)-4-(Dimethylamino)-N-(1-((5-(2-((3-fluoro-4-methoxyphenyl)amino)-4-(propylamino)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-1-oxopropan-2-yl)-N-methyl-2-butenamide [PTM-VIII-15]; (S,E)-4-(Dimethylamino)-N-(1-((5-(2-((6-fluoropyridin-3-yl)amino)-4-(propylamino)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-1-oxopropan-2-yl)-N-methyl-2-butenamide [PTM-VIII-16]; (S,E)-4-(Dimethylamino)-N-(1-((5-(2-((6-fluoropyridin-3-yl)amino)-4-(4-methoxyphenyl)amino)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-1-oxopropan-2-yl)-N-methyl-2-butenamide [PTM-VIII-17]; (E)-4-(Dimethylamino)-N-(2-((5-(2-((3-fluorophenyl)amino)-4-(propylamino)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-2-oxoethyl)-N-methyl-2-butenamide [PTM-VIII-18]; (S,E)-N-(5-(2-((4-Cyanophenyl)amino)-4-(propylamino)pyrimidin-5-yl)-4-pentyn-1-yl)-1-(4-(dimethylamino)-2-butenoyl)pyrrolidine-2-carboxamide [PTM-VHII-19]; (S,E)-N-(1-((5-(4-(Cyclopropylamino)-2-((3-fluoro-4-methoxyphenyl)amino)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-1-oxopropan-2-yl)-4-(dimethylamino)-N-methyl-2-butenamide [PTM-VIII-20]; (S,E)-4-(Dimethylamino)-N-(1-((5-(2-((3-fluoro-4-methoxyphenyl)amino)-4-((3-fluoropropyl)amino)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-1-oxopropan-2-yl)-N-methyl-2-butenamide [PTM-V 11-21]; (S,E)-N-(1-((5-(2-((4-Cyanophenyl)amino)-4-(propylamino)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-3-hydroxy-1-oxopropan-2-yl)-4-(dimethylamino)-N-methyl-2-butenamide [PTM-VIII-22]; (2S,4R)-1-(E)-4-(Dimethylamino)-2-butenoyl)-N-(5-(2-((3-fluorophenyl)amino)-4-(propylamino)pyrimidin-5-yl)-4-pentyn-1-yl)-4-hydroxypyrrolidine-2-carboxamide [PTM-VIII-23]; (2S,4S)-1-((E)-4-(Dimethylamino)-2-butenoyl)-4-fluoro-N-(5-(2-((3-fluorophenyl)amino)-4-(methylamino)pyrimidin-5-y)-4-pentyn-1-yl)pyrrolidine-2-carboxamide [PTM-VIII-24]; (2S,4S)-1-((E)-4-(Dimethylamino)-2-butenoyl)-N-(5-(2-((3-fluorophenyl)amino)-4-(methylamino)pyrimidin-5-yl)-4-pentyn-1-yl)-4-methoxypyrrolidine-2-carboxamide [PTM-VIII-25]; (2S,4S)-1-((E)-4-(Dimethylamino)-2-butenoyl)-4-fluoro-N-(5-(2-((4-fluorophenyl)amino)-4-(methylamino)pyrimidin-5-yl)-4-pentyn-1-yl)pyrrolidine-2-carboxamide [PTM-VIII-26]; (2S,4R)-1-((E)-4-(Dimethylamino)-2-butenoyl)-4-fluoro-N-(5-(2-((4-fluorophenyl)amino)-4-(methylamino)pyrimidin-5-yl)-4-pentyn-1-yl)pyrrolidine-2-carboxamide [PTM-VIII-27]; (2S,4S)-1-((E)-4-(Dimethylamino)-2-butenoyl)-N-(5-(2-(4-fluorophenyl)amino)-4-(methylamino)pyrimidin-5-yl)-4-pentyn-1-yl)-4-methoxypyrrolidine-2-carboxamide [PTM-VIII-28]; (2S,4R)-1-((E)-4-(Dimethylamino)-2-butenoyl)-N-(5-(2-((4-fluorophenyl)amino)-4-(methylamino)pyrimidin-5-yl)-4-pentyn-1-yl)-4-methoxypyrrolidine-2-carboxamide [PTM-VIII-29]; (S,E)-1-(4-(Dimethylamino)-2-butenoyl)-N-(5-(2-((4-fluorophenyl)amino)-4-(methylamino)pyrimidin-5-yl)-4-pentyn-1-yl)azetidine-2-carboxamide [PTM-VIII-30]; (2S,4S)—N-(5-(2-((4-Cyanophenyl)amino)-4-(methylamino)pyrimidin-5-yl)-4-pentyn-1-yl)-1-((E)-4-(dimethylamino)-2-butenoyl)-4-fluoropyrrolidine-2-carboxamide [PTM-VIII-31]; (E)-N-(2-((5-(2-((4-Cyanophenyl)amino)-4-(methylamino)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-2-oxoethyl)-4-(dimethylamino)-N-methyl-2-butenamide [PTM-VIII-32]; (S,E)-4-(Dimethylamino)-N-(1-((3-((2-((3-fluorophenyl)amino)-4-(propylamino)pyrimidin-5-yl)ethynyl)phenyl)amino)-1-oxopropan-2-yl)-N-methyl-2-butenamide [PTM-VIII-33]; (S,E)-4-((5-((3-(2-(4-(Dimethylamino)-N-methyl-2-butenamido)propanamido)phenyl)ethynyl)-4-(propylamino)pyrimidin-2-yl)amino)benzamide [PTM-VIII-34]; (S,E)-N-(1-((5-(2-((4-Cyanophenyl)amino)-4-(pyrrolidin-1-yl)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-1-oxopropan-2-yl)-4-(dimethylamino)-N-methyl-2-butenamide [PTM-VIII-35]J; (S,E)-4-(Dimethylamino)-N-(1-((5-(2-((2-fluoropyridin-4-yl)amino)-4-(pyrrolidin-1-yl)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-1-oxopropan-2-yl)-N-methyl-2-butenamide [PTM-VIII-36]; (S,E)-4-(Dimethylamino)-N-(1-((5-(2-((2-fluoropyridin-4-yl)amino)-4-(propylamino)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-1-oxopropan-2-yl)-N-methyl-2-butenamide [PTM-VIII-37]; (S,E)-N-(1-((5-(4-(Cyclopropylamino)-2-((2-fluoropyridin-4-yl)amino)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-1-oxopropan-2-yl)-4-(dimethylamino)-N-methyl-2-butenamide [PTM-VIII-38]; (S,E)-4-(Dimethylamino)-N-methyl-N-(1-((5-(2-((3-methylisothiazol-5-yl)amino)-4-(propylamino)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-1-oxopropan-2-yl)-2-butenamide [PTM-VIII-39]; (S,E)-4-(Dimethylamino)-N-(1-((5-(4-(3-methoxypropyl)amino)-2-((2-methoxypyridin-4-yl)amino)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-1-oxopropan-2-yl)-N-methyl-2-butenamide [PTM-VIII-40]; (S,E)-1-(4-(Dimethylamino)-2-butenoyl)-N-(5-(4-((3-methoxypropyl)amino)-2-((methoxypyridin-4-yl)amino)pyrimidin-5-yl)-4-pentyn-1-yl)pyrrolidine-2-carboxamide [PTM-VIII-41]; (2S,4S)-1-((E)-4-(Dimethylamino)-2-butenoyl)-4-fluoro-N-(5-(4-((3-methoxypropyl)amino)-2-((methoxypyridin-4-yl)amino)pyrimidin-5-yl)-4-pentyn-1l-yl)pyrrolidine-2-carboxamide [PTM-VIII-42]; (S,E)-1-(4-(Dimethylamino)-2-butenoyl)-N-(5-(2-((2-methoxypyridin-4-yl)amino)-4-(propylamino)pyrimidin-5-yl)-4-pentyn-1-yl)pyrrolidine-2-carboxamide [PTM-VIII-43]; (2S,4S)-1-((E)-4-(Dimethylamino)-2-butenoyl)-4-fluoro-N-(5-(2-((2-methoxypyridin-4-yl)amino)-4-(propylamino)pyrimidin-5-yl)-4-pentyn-1-yl)pyrrolidine-2-carboxamide [PTM-VIII-44]; (E)-4-(Dimethylamino)-N-(2-((5-(2-((2-methoxypyridin-4-y)amino)-4-(propylamino)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-2-oxoethyl)-N-methyl-2-butenamide [PTM-VIII-45]; (S,E)-4-(Dimethylamino)-N-(1-((5-(2-((3-fluorophenyl)amino)-4-((4-methoxyphenyl)amino)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-1-oxopropan-2-yl)-N-methyl-2-butenamide [PTM-VIII-46]; (S,E)-4-(Dimethylamino)-N-(1-((5-(2-((3-fluorophenyl)amino)-4-morpholinopyrimidin-5-yl)-4-pentyn-1l-yl)amino)-1-oxopropan-2-yl)-N-methyl-2-butenamide [PTM-VIII-47]; (E)-4-(Dimethylamino)-N-(2-((5-(2-((4-fluorophenyl)amino)-4-(3-fluoropropyl)amino)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-2-oxoethyl)-N-methyl-2-butenamide [PTM-VIII-48]; (S,E)-N-(1-(5-(2-((4-Cyanophenyl)amino)-4-(cyclopropylamino)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-1-oxopropan-2-yl)-4-(dimethylamino))-N-methyl-2-butenamide [PTM-VIII-49]; (S,E)-N-(1-((5-(2-((4-Cyanophenyl)amino)-4-((3-fluoropropyl)amino)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-1-oxopropan-2-yl)-4-(dimethylamino))-N-methyl-2-butenamide [PTM-VIII-50]; (S,E)-4-(Dimethylamino))-N-(1-((5-(4-(ethylamino)-2-((1-methyl-i H-indazol-5-yl)amino)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-1-oxopropan-2-yl)-N-methyl-2-butenamide [PTM-VIII-51]; (S,E)-N-(1-((5-(4-(Cyclopropylamino)-2-((1-methyl-1H-indazol-5-yl)amino)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-1-oxopropan-2-yl)-4-(dimethylamino))-N-methyl-2-butenamide [PTM-VIII-52]; (S,E)-4-(Dimethylamino))-N-methyl-N-(1-((5-(2-((1-methyl-1H-indazol-5-yl)amino)-4-(methylamino)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-1-oxopropan-2-yl)-2-butenamide [PTM-VIII-53]; (S,E)-N-(5-(2-((1H-Indazol-5-yl)amino)-4-(methylamino)pyrimidin-5-yl)-4-pentyn-1-yl)-1-(4-(dimethylamino)-2-butenoyl)pyrrolidine-2-carboxamide [PTM-VIII-54]; (S,E)-N-(5-(2-((1H-Indazol-5-yl)amino)-4-(ethylamino)pyrimidin-5-yl)-4-pentyn-1-yl)-1-(4-(dimethylamino)-2-butenoyl)pyrrolidine-2-carboxamide [PTM-VIII-55]; (S,E)-N-(5-(2-((1H-Indazol-5-yl)amino)-4-((3-methoxypropyl)amino)pyrimidin-5-yl)-4-pentyn- l-yl)-1-(4-(dimethylamino)-2-butenoyl)pyrrolidine-2-carboxamide [PTM-VIII-56]; (E)-4-(Dimethylamino)-N—((S)-1-(((1S,3R)-3-((2-((3-fluorophenyl)amino)-4-(propylamino)pyrimidin-5-yl)ethynyl)cyclohexyl)amino)-1-oxopropan-2-yl)-N-methyl-2-butenamide [PTM-VIII-57]; (E)-4-(Dimethylamino)-N—((S)-1-(((1S,3R)-3-((2-((3-fluorophenyl)amino)-4-(propylamino)pyrimidin-5-yl)ethynyl)cyclobutyl)amino)-1-oxopropan-2-yl)-N-methyl-2-butenamide [PTM-VIII-58]; (E)-N—((S)-1-(((1S,3R)-3-((2-((4-Cyanophenyl)amino)-4-(methylamino)pyrimidin-5-yl)ethynyl)cyclobutyl)amino)-1-oxopropan-2-yl)-4-(dimethylamino)-N-methyl-2-butenamide [PTM-VIII-59]; (E)-4-(Dimethylamino)-N—((S)-1-(((1S,3R)-3-((2-((3-fluorophenyl)amino)-4-(methylamino)pyrimidin-5-yl)ethynyl)cyclobutyl)amino)-1-oxopropan-2-yl)-N-methyl-2-butenamide [PTM-VHII-60]; (E)-N—((S)-1-(((1S,3R)-3-((2-((4-Cyanophenyl)amino)-4-(methylamino)pyrimidin-5-yl)ethynyl)cyclobutyl)amino)-1-oxopropan-2-yl)-4-(dimethylamino)-N-methyl-2-butenamide [PTM-VIII-61]; (E)-N—(S)-1-(((1S,3R)-3-((2-((3-Cyanophenyl)amino)-4-(methylamino)pyrimidin-5-yl)ethynyl)cyclobutyl)amino)-1-oxopropan-2-yl)-4-(dimethylamino)-N-methyl-2-butenamide [PTM-VIII-62]; (E)-4-(Dimethylamino)-N—(S)-1-(((1S,3R)-3-((2-((3-fluoro-4-methoxyphenyl)amino)-4-(methylamino)pyrimidin-5-yl)ethynyl)cyclobutyl)amino)-1-oxopropan-2-yl)-N-methyl-2-butenamide [PTM-VIII-63]; (E)-4-(Dimethylamino)-N—((S)-1-(((1S,3R)-3-((2-((4-fluorophenyl)amino)-4-(methylamino)pyrimidin-5-yl)ethynyl)cyclobutyl)amino)-1-oxopropan-2-yl)-N-methyl-2-butenamide [PTM-VIII-64]; (E)-N—((S)-1-(((1S,3R)-3-((2-((3-Cyanophenyl)amino)-4-(cyclopropylamino)pyrimidin-5-yl)ethynyl)cyclobutyl)amino)-1-oxopropan-2-yl)-4-(dimethylamino)-N-methyl-2-butenamide [PTM-VIII-65]; (E)-4-(Dimethylamino)-N—((S)-1-(((1S*,3R*)-3((2((2-fluoropyridin-4y)amino)-4 (propylamino)pyrimidin-5-yl)ethynyl)cyclobutyl)amino)-1-oxopropan-2-yl)-N-methyl-2-butenamide [PTM-VIII-66]; (E)-4-(Dimethylamino)-N—((S)-1-(((1S,3R)-3-((2-((2-methoxypyridin-4-yl)amino)-4-(propylamino)pyrimidin-5-yl)ethynyl)cyclobutyl)amino)-1-oxopropan-2-yl)-N-methyl-2-butenamide [PTM-VIII-67]; (E)-N—((S)-1-(((1 S,3R)-3-((2-((4-Cyanophenyl)amino)-4-(methylamino)pyrimidin-5-yl)ethynyl)cyclohexyl)amino)-1-oxopropan-2-yl)-4-(dimethylamino)-N-methyl-2-butenamide [PTM-VIII-68]; (E)-N—((S)-1-(((1 S*,3R*)-3-((2-((4-Cyanophenyl)amino)-4-(cyclopropylamino)pyrimidin-5-yl)ethynyl)cyclobutyl)amino)-1-oxopropan-2-yl)-4-(dimethylamino)-N-methyl-2-butenamide [PTM-VIII-69]; (E)-N—(S)-1-(((1S*,3R*)-3-((4-(Cyclopropylamino)-2((4-fluorophenyl)amino)pyrimidin-5-yl)ethynyl)cyclobutyl)amino)-1-oxopropan-2-yl)-4-(dimethylamino)-N-methyl-2-butenamide [PTM-VIII-70]; (E)-N—((S)-1-(((1S*,3*)-3-((4-(Cyclopropylamino)-2-((3-fluoro-4-methoxyphenyl)amino)pyrimidin-5-yl)ethynyl)cyclobutyl)amino)-1-oxopropan-2-yl)-4-(dimethylamino)-N-methyl-2-butenamide [PTM-VIII-71]; (E)-4-(Dimethylamino)-N—((S)-1-(((1S,3R)-3-((2-((3-fluorophenyl)amino)-4-((3-fluoropropyl)amino)pyrimidin-5-yl)ethynyl)cyclobutyl)amino)-1-oxopropan-2-yl)-N-methyl-2-butenamide [PTM-VIII-72]; (E)-N—((S)-1-(((1S,3R)-3-((2-((4-Cyanophenyl)amino)-4-((3-fluoropropyl)amino)pyrimidin-5-yl)ethynyl)cyclobutyl)amino)-1-oxopropan-2-yl)-4-(dimethylamino)-N-methyl-2-butenamide [PTM-VIII-73]; (E)-4-(Dimethylamino)-N—((S)-1-(((i S 3R)-3-((2-((3-fluorophenyl)amino)-4-((3-methoxypropyl)amino)pyrimidin-5-yl)ethynyl)cyclobutyl)amino)-1-oxopropan-2-yl)-N-methyl-2-butenamide [PTM-VIII-74]; (E)-N—((S)-1-(((1 S,3R)-3-((2-((4-Cyanophenyl)amino)-4-((3-methoxypropyl)amino)pyrimidin-5-yl)ethynyl)cyclobutyl)amino)-1-oxopropan-2-yl)-4-(dimethylamino)-N-methyl-2-butenamide [PTM-VIII-75]; (E)-4-(Dimethylamino)-N—((S)-1-(((1S,3R)-3-((2-((3-fluoro-4-methoxyphenyl)amino)-4-(methylamino)pyrimidin-5-yl)ethynyl)cyclohexyl)amino)-1-oxopropan-2-yl)-N-methyl-2-butenamide [PTM-VIII-76]; (S,E)-4-(Dimethylamino)-N-methyl-N-(1-((5-(2-((2-methylpyridin-4-ylamino)-4-(propylamino)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-1-oxopropan-2-yl)-2-butenamide [PTM-VIII-77]; (S,E)-N-(1-((5-(2-(Benzo[d]thiazol-6-ylamino)-4-(propylamino)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-1-oxopropan-2-yl)-4-(dimethylamino)-N-methyl-2-butenamide [PTM-VIII-78]; (S,E)-1-(4-(Dimethylamino)-2-butenoyl)-N-(5-(2-((1-methyl-1H-indazol-5-yl)amino)-4-(propylamino)pyrimidin-5-yl)-4-pentyn-1-yl)pyrrolidine-2-carboxamide [PTM-VIII-79]; (S,E)-1-(4-(Dimethylamino)-2-butenoyl)-N-(5-(2-((1-methyl-1H-pyrazolo[3,4-b]pyridin-5-yl)amino)-4-(propylamino)pyrimidin-5-yl)-4-pentyn-1-yl)pyrrolidine-2-carboxamide [PTM-VIII-80]; (S,E)-1-(4-(Dimethylamino)-2-butenoyl)-N-(5-(2-((1-(2-methoxyethyl)-1H-pyrazolo[3,4-b]pyridin-5-yl)amino)-4-(propylamino)pyrimidin-5-yl)-4-pentyn-1l-yl)pyrrolidine-2-carboxamide [PTM-VIII-81]; (S,E)-4-(Dimethylamino)-N-methyl-N-(1-((5-(2-((3-methyl-1H-pyrazolo[3,4-b]pyridin-5-yl)amino)-4-(propylamino)pyrimidin-5-yl)-4-pentyn-1-yl)amino)-1-oxopropan-2-yl)-2-butenamide [PTM-VIII-81]; (S,E)-1-(4-(Dimethylamino)-2-butenoyl)-N-(5-(2-((3-methyl-1H-pyrazolo[3,4-b]pyridin-5-ylamino)-4-(propylamino)pyrimidin-5-yl)-4-pentyn-1-yl)pyrrolidine-2-carboxamide [PTM-VIII-83]; or (S,E)-1-(4-(Dimethylamino)-2-butenoyl)-N-(5-(2-((3-methoxy-1H-pyrazolo[3,4-b]pyridin-5-yl)amino)-4-(propylamino)pyrimidin-5-yl)-4-pentyn-1-yl)pyrrolidine-2-carboxamide [PTM-VIII-84].

In any aspect or embodiment described herein, the PTM is represented by Formula PTM-IX:

wherein:

-   -   W of PTM-IX is an aryl, 5-membered heteroaryl, or 6-membered         heteroaryl ring, each optionally substituted with one or more         R_(PTM1) groups;     -   X of PTM-IX is independently selected from C—R_(PTM1) or N;     -   Y and Z of PTM-IX are independently selected from a bond or CH₂;     -   m and n of PTM-IX are each independently 1 or 2;     -   R_(PTM1) of PTM-IX is H, halogen, C₁₋₅alkyl, CN, OH, or         O—C₁₋₅alkyl;     -   of PTM-IX indicates either a single or double bond;     -   each R of PTM-IX is independently selected from H, halogen,         C₁₋₅alkyl, CN, C(O)—C₁₋₅alkyl, C(O)O—C₁₋₅alkyl, OH, or         O—C₁₋₅alkyl, each optionally substituted (e.g., optionally         substituted with a cycloalkyl, heterocycle, or aminoalkyl); and     -   of PTM-IX indicates a covalent linkage, optionally through an         atom or functional group, to at least one of a linker (L), a         ULM, a ULM′, a VLM, a VLM′, a CLM, a CLM′, an ILM, an ILM′, a         MLM, a MLM′, or a combination thereof.

In any aspect or embodiment described herein, wherein the PTM-IX comprises at least one of the following:

-   -   W of PTM-IX is phenyl or furan, each optionally substituted with         one or more R_(PTM1) groups;     -   X of PTM-IX is CH;     -   Y of PTM-IX is CH₂;     -   Z of PTM-IX is CH₂;     -   m and n of PTM-IX are each 1;     -   R of PTM-IX is H; or     -   a combination thereof.

In any aspect or embodiment described herein, the PTM is represented by chemical structure:

In any aspect or embodiment described herein, the PTM is:

wherein R is 5-(4-methyl-1H-imidazol-1-yl) or 4-(N-(4-ethylpiperazin-1-yl)methyl) [described in Weisberg et el. Mol Cancer Ther. 2010 September; 9(9): 2468-77. Doi:10.1158/1535-7163.MCT-10-0232[.

Therapeutic Compositions

Pharmaceutical compositions comprising combinations of an effective amount of at least one bifunctional compound as described herein, and one or more of the compounds otherwise described herein, all in effective amounts, in combination with a pharmaceutically effective amount of a carrier, additive or excipient, represents a further aspect of the present disclosure.

The present disclosure includes, where applicable, the compositions comprising the pharmaceutically acceptable salts, in particular, acid or base addition salts of compounds as described herein. The acids which are used to prepare the pharmaceutically acceptable acid addition salts of the aforementioned base compounds useful according to this aspect are those which form non-toxic acid addition salts, i.e., salts containing pharmacologically acceptable anions, such as the hydrochloride, hydrobromide, hydroiodide, nitrate, sulfate, bisulfate, phosphate, acid phosphate, acetate, lactate, citrate, acid citrate, tartrate, bitartrate, succinate, maleate, fumarate, gluconate, saccharate, benzoate, methanesulfonate, ethanesulfonate, benzenesulfonate, p-toluenesulfonate and pamoate [i.e., 1,1′-methylene-bis-(2-hydroxy-3 naphthoate)]salts, among numerous others.

Pharmaceutically acceptable base addition salts may also be used to produce pharmaceutically acceptable salt forms of the compounds or derivatives according to the present disclosure. The chemical bases that may be used as reagents to prepare pharmaceutically acceptable base salts of the present compounds that are acidic in nature are those that form non-toxic base salts with such compounds. Such non-toxic base salts include, but are not limited to those derived from such pharmacologically acceptable cations such as alkali metal cations (e.g., potassium and sodium) and alkaline earth metal cations (e.g., calcium, zinc and magnesium), ammonium or water-soluble amine addition salts such as N-methylglucamine-(meglumine), and the lower alkanolammonium and other base salts of pharmaceutically acceptable organic amines, among others.

The compounds as described herein may, in accordance with the disclosure, be administered in single or divided doses by the oral, parenteral or topical routes. Administration of the active compound may range from continuous (intravenous drip) to several oral administrations per day (for example, Q.I.D.) and may include oral, topical, parenteral, intramuscular, intravenous, sub-cutaneous, transdermal (which may include a penetration enhancement agent), buccal, sublingual and suppository administration, among other routes of administration. Enteric coated oral tablets may also be used to enhance bioavailability of the compounds from an oral route of administration. The most effective dosage form will depend upon the pharmacokinetics of the particular agent chosen as well as the severity of disease in the patient. Administration of compounds according to the present disclosure as sprays, mists, or aerosols for intra-nasal, intra-tracheal or pulmonary administration may also be used. The present disclosure therefore also is directed to pharmaceutical compositions comprising an effective amount of compound as described herein, optionally in combination with a pharmaceutically acceptable carrier, additive or excipient. Compounds according to the present disclosure ion may be administered in immediate release, intermediate release or sustained or controlled release forms. Sustained or controlled release forms are preferably administered orally, but also in suppository and transdermal or other topical forms. Intramuscular injections in liposomal form may also be used to control or sustain the release of compound at an injection site.

The compositions as described herein may be formulated in a conventional manner using one or more pharmaceutically acceptable carriers and may also be administered in controlled-release formulations. Pharmaceutically acceptable carriers that may be used in these pharmaceutical compositions include, but are not limited to, ion exchangers, alumina, aluminum stearate, lecithin, serum proteins, such as human serum albumin, buffer substances such as phosphates, glycine, sorbic acid, potassium sorbate, partial glyceride mixtures of saturated vegetable fatty acids, water, salts or electrolytes, such as prolamine sulfate, disodium hydrogen phosphate, potassium hydrogen phosphate, sodium chloride, zinc salts, colloidal silica, magnesium trisilicate, polyvinyl pyrrolidone, cellulose-based substances, polyethylene glycol, sodium carboxymethylcellulose, polyacrylates, waxes, polyethylene-polyoxypropylene-block polymers, polyethylene glycol and wool fat.

The compositions as described herein may be administered orally, parenterally, by inhalation spray, topically, rectally, nasally, buccally, vaginally or via an implanted reservoir. The term “parenteral” as used herein includes subcutaneous, intravenous, intramuscular, intra-articular, intra-synovial, intrasternal, intrathecal, intrahepatic, intralesional and intracranial injection or infusion techniques. Preferably, the compositions are administered orally, intraperitoneally or intravenously.

Sterile injectable forms of the compositions as described herein may be aqueous or oleaginous suspension. These suspensions may be formulated according to techniques known in the art using suitable dispersing or wetting agents and suspending agents. The sterile injectable preparation may also be a sterile injectable solution or suspension in a non-toxic parenterally-acceptable diluent or solvent, for example as a solution in 1, 3-butanediol. Among the acceptable vehicles and solvents that may be employed are water, Ringer's solution and isotonic sodium chloride solution. In addition, sterile, fixed oils are conventionally employed as a solvent or suspending medium. For this purpose, any bland fixed oil may be employed including synthetic mono- or di-glycerides. Fatty acids, such as oleic acid and its glyceride derivatives are useful in the preparation of injectables, as are natural pharmaceutically-acceptable oils, such as olive oil or castor oil, especially in their polyoxyethylated versions. These oil solutions or suspensions may also contain a long-chain alcohol diluent or dispersant, such as Ph. Helv or similar alcohol.

The pharmaceutical compositions as described herein may be orally administered in any orally acceptable dosage form including, but not limited to, capsules, tablets, aqueous suspensions or solutions. In the case of tablets for oral use, carriers which are commonly used include lactose and corn starch. Lubricating agents, such as magnesium stearate, are also typically added. For oral administration in a capsule form, useful diluents include lactose and dried corn starch. When aqueous suspensions are required for oral use, the active ingredient is combined with emulsifying and suspending agents. If desired, certain sweetening, flavoring or coloring agents may also be added.

Alternatively, the pharmaceutical compositions as described herein may be administered in the form of suppositories for rectal administration. These can be prepared by mixing the agent with a suitable non-irritating excipient, which is solid at room temperature but liquid at rectal temperature and therefore will melt in the rectum to release the drug. Such materials include cocoa butter, beeswax and polyethylene glycols.

The pharmaceutical compositions as described herein may also be administered topically. Suitable topical formulations are readily prepared for each of these areas or organs. Topical application for the lower intestinal tract can be effected in a rectal suppository formulation (see above) or in a suitable enema formulation. Topically-acceptable transdermal patches may also be used.

For topical applications, the pharmaceutical compositions may be formulated in a suitable ointment containing the active component suspended or dissolved in one or more carriers. Carriers for topical administration of the compounds of this disclosure include, but are not limited to, mineral oil, liquid petrolatum, white petrolatum, propylene glycol, polyoxyethylene, polyoxypropylene compound, emulsifying wax and water. In certain preferred aspects of the disclosure, the compounds may be coated onto a stent which is to be surgically implanted into a patient in order to inhibit or reduce the likelihood of occlusion occurring in the stent in the patient.

Alternatively, the pharmaceutical compositions can be formulated in a suitable lotion or cream containing the active components suspended or dissolved in one or more pharmaceutically acceptable carriers. Suitable carriers include, but are not limited to, mineral oil, sorbitan monostearate, polysorbate 60, cetyl esters wax, cetearyl alcohol, 2-octyldodecanol, benzyl alcohol and water.

For ophthalmic use, the pharmaceutical compositions may be formulated as micronized suspensions in isotonic, pH adjusted sterile saline, or, preferably, as solutions in isotonic, pH adjusted sterile saline, either with our without a preservative such as benzylalkonium chloride. Alternatively, for ophthalmic uses, the pharmaceutical compositions may be formulated in an ointment such as petrolatum.

The pharmaceutical compositions as described herein may also be administered by nasal aerosol or inhalation. Such compositions are prepared according to techniques well-known in the art of pharmaceutical formulation and may be prepared as solutions in saline, employing benzyl alcohol or other suitable preservatives, absorption promoters to enhance bioavailability, fluorocarbons, and/or other conventional solubilizing or dispersing agents.

The amount of compound in a pharmaceutical composition as described herein that may be combined with the carrier materials to produce a single dosage form will vary depending upon the host and disease treated, the particular mode of administration. Preferably, the compositions should be formulated to contain between about 0.05 milligram to about 750 milligrams or more, more preferably about 1 milligram to about 600 milligrams, and even more preferably about 10 milligrams to about 500 milligrams of active ingredient, alone or in combination with at least one other compound according to the present disclosure.

It should also be understood that a specific dosage and treatment regimen for any particular patient will depend upon a variety of factors, including the activity of the specific compound employed, the age, body weight, general health, sex, diet, time of administration, rate of excretion, drug combination, and the judgment of the treating physician and the severity of the particular disease or condition being treated.

A patient or subject in need of therapy using compounds according to the methods described herein can be treated by administering to the patient (subject) an effective amount of the compound according to the present disclosure including pharmaceutically acceptable salts, solvates or polymorphs, thereof optionally in a pharmaceutically acceptable carrier or diluent, either alone, or in combination with other known erythopoiesis stimulating agents as otherwise identified herein.

These compounds can be administered by any appropriate route, for example, orally, parenterally, intravenously, intradermally, subcutaneously, or topically, including transdermally, in liquid, cream, gel, or solid form, or by aerosol form.

The active compound is included in the pharmaceutically acceptable carrier or diluent in an amount sufficient to deliver to a patient a therapeutically effective amount for the desired indication, without causing serious toxic effects in the patient treated. A preferred dose of the active compound for all of the herein-mentioned conditions is in the range from about 10 ng/kg to 300 mg/kg, preferably 0.1 to 100 mg/kg per day, more generally 0.5 to about 25 mg per kilogram body weight of the recipient/patient per day. A typical topical dosage will range from 0.01-5% wt/wt in a suitable carrier.

The compound is conveniently administered in any suitable unit dosage form, including but not limited to one containing less than 1 mg, 1 mg to 3000 mg, preferably 5 to 500 mg of active ingredient per unit dosage form. An oral dosage of about 25-250 mg is often convenient.

The active ingredient is preferably administered to achieve peak plasma concentrations of the active compound of about 0.00001-30 mM, preferably about 0.1-30 μM. This may be achieved, for example, by the intravenous injection of a solution or formulation of the active ingredient, optionally in saline, or an aqueous medium or administered as a bolus of the active ingredient. Oral administration is also appropriate to generate effective plasma concentrations of active agent.

The concentration of active compound in the drug composition will depend on absorption, distribution, inactivation, and excretion rates of the drug as well as other factors known to those of skill in the art. It is to be noted that dosage values will also vary with the severity of the condition to be alleviated. It is to be further understood that for any particular subject, specific dosage regimens should be adjusted over time according to the individual need and the professional judgment of the person administering or supervising the administration of the compositions, and that the concentration ranges set forth herein are exemplary only and are not intended to limit the scope or practice of the claimed composition. The active ingredient may be administered at once, or may be divided into a number of smaller doses to be administered at varying intervals of time.

Oral compositions will generally include an inert diluent or an edible carrier. They may be enclosed in gelatin capsules or compressed into tablets. For the purpose of oral therapeutic administration, the active compound or its prodrug derivative can be incorporated with excipients and used in the form of tablets, troches, or capsules. Pharmaceutically compatible binding agents, and/or adjuvant materials can be included as part of the composition.

The tablets, pills, capsules, troches and the like can contain any of the following ingredients, or compounds of a similar nature: a binder such as microcrystalline cellulose, gum tragacanth or gelatin; an excipient such as starch or lactose, a dispersing agent such as alginic acid, Primogel, or corn starch; a lubricant such as magnesium stearate or Sterotes; a glidant such as colloidal silicon dioxide; a sweetening agent such as sucrose or saccharin; or a flavoring agent such as peppermint, methyl salicylate, or orange flavoring. When the dosage unit form is a capsule, it can contain, in addition to material of the above type, a liquid carrier such as a fatty oil. In addition, dosage unit forms can contain various other materials which modify the physical form of the dosage unit, for example, coatings of sugar, shellac, or enteric agents.

The active compound or pharmaceutically acceptable salt thereof can be administered as a component of an elixir, suspension, syrup, wafer, chewing gum or the like. A syrup may contain, in addition to the active compounds, sucrose as a sweetening agent and certain preservatives, dyes and colorings and flavors.

The active compound or pharmaceutically acceptable salts thereof can also be mixed with other active materials that do not impair the desired action, or with materials that supplement the desired action, such as erythropoietin stimulating agents, including EPO and darbapoietin alfa, among others. In certain preferred aspects of the disclosure, one or more compounds according to the present disclosure are coadministered with another bioactive agent, such as an erythropoietin stimulating agent or a would healing agent, including an antibiotic, as otherwise described herein.

Solutions or suspensions used for parenteral, intradermal, subcutaneous, or topical application can include the following components: a sterile diluent such as water for injection, saline solution, fixed oils, polyethylene glycols, glycerine, propylene glycol or other synthetic solvents; antibacterial agents such as benzyl alcohol or methyl parabens; antioxidants such as ascorbic acid or sodium bisulfite; chelating agents such as ethylenediaminetetraacetic acid; buffers such as acetates, citrates or phosphates and agents for the adjustment of tonicity such as sodium chloride or dextrose. The parental preparation can be enclosed in ampoules, disposable syringes or multiple dose vials made of glass or plastic.

If administered intravenously, preferred carriers are physiological saline or phosphate buffered saline (PBS).

In one embodiment, the active compounds are prepared with carriers that will protect the compound against rapid elimination from the body, such as a controlled release formulation, including implants and microencapsulated delivery systems. Biodegradable, biocompatible polymers can be used, such as ethylene vinyl acetate, polyanhydrides, polyglycolic acid, collagen, polyorthoesters, and polylactic acid. Methods for preparation of such formulations will be apparent to those skilled in the art.

Liposomal suspensions may also be pharmaceutically acceptable carriers. These may be prepared according to methods known to those skilled in the art, for example, as described in U.S. Pat. No. 4,522,811 (which is incorporated herein by reference in its entirety). For example, liposome formulations may be prepared by dissolving appropriate lipid(s) (such as stearoyl phosphatidyl ethanolamine, stearoyl phosphatidyl choline, arachadoyl phosphatidyl choline, and cholesterol) in an inorganic solvent that is then evaporated, leaving behind a thin film of dried lipid on the surface of the container. An aqueous solution of the active compound are then introduced into the container. The container is then swirled by hand to free lipid material from the sides of the container and to disperse lipid aggregates, thereby forming the liposomal suspension.

Therapeutic Methods

In an additional aspect, the description provides therapeutic compositions comprising an effective amount of a compound as described herein or salt form thereof, and a pharmaceutically acceptable carrier. The therapeutic compositions modulate protein degradation in a patient or subject, for example, an animal such as a human, and can be used for treating or ameliorating disease states or conditions which are modulated through the degraded protein.

The terms “treat”, “treating”, and “treatment”, etc., as used herein, refer to any action providing a benefit to a patient for which the present compounds may be administered, including the treatment of any disease state or condition which is modulated through the protein to which the present compounds bind. Disease states or conditions, including cancer, which may be treated using compounds according to the present disclosure are set forth hereinabove.

The description provides therapeutic compositions as described herein for effectuating the degradation of proteins of interest for the treatment or amelioration of a disease, e.g., cancer. In certain additional embodiments, the disease is multiple myeloma. As such, in another aspect, the description provides a method of ubiquitinating/degrading a target protein in a cell. In certain embodiments, the method comprises administering a bifunctional compound as described herein comprising, e.g., a ULM and a PTM, preferably linked through a linker moiety, as otherwise described herein, wherein the UM is coupled to the PTM and wherein the ULM recognizes a ubiquitin pathway protein (e.g., an ubiquitin ligase, such as an E3 ubiquitin ligase including cereblon, VHL, IAP, and/or MDM2) and the PTM recognizes the target protein such that degradation of the target protein will occur when the target protein is placed in proximity to the ubiquitin ligase, thus resulting in degradation/inhibition of the effects of the target protein and the control of protein levels. The control of protein levels afforded by the present disclosure provides treatment of a disease state or condition, which is modulated through the target protein by lowering the level of that protein in the cell, e.g., cell of a patient. In certain embodiments, the method comprises administering an effective amount of a compound as described herein, optionally including a pharmaceutically acceptable excipient, carrier, adjuvant, another bioactive agent or combination thereof.

In additional embodiments, the description provides methods for treating or ameliorating a disease, disorder or symptom thereof in a subject or a patient, e.g., an animal such as a human, comprising administering to a subject in need thereof a composition comprising an effective amount, e.g., a therapeutically effective amount, of a compound as described herein or salt form thereof, and a pharmaceutically acceptable excipient, carrier, adjuvant, another bioactive agent or combination thereof, wherein the composition is effective for treating or ameliorating the disease or disorder or symptom thereof in the subject.

In another aspect, the description provides methods for identifying the effects of the degradation of proteins of interest in a biological system using compounds according to the present disclosure.

In another embodiment, the present disclosure is directed to a method of treating a human patient in need for a disease state or condition modulated through a protein where the degradation of that protein will produce a therapeutic effect in that patient, the method comprising administering to a patient in need an effective amount of a compound according to the present disclosure, optionally in combination with another bioactive agent. The disease state or condition may be a disease caused by a microbial agent or other exogenous agent such as a virus, bacteria, fungus, protozoa or other microbe or may be a disease state, which is caused by overexpression of a protein, which leads to a disease state and/or condition

The term “disease state or condition” is used to describe any disease state or condition wherein protein dysregulation (i.e., the amount of protein expressed in a patient is elevated) occurs and where degradation of one or more proteins in a patient may provide beneficial therapy or relief of symptoms to a patient in need thereof. In certain instances, the disease state or condition may be cured.

Disease states of conditions which may be treated using compounds according to the present disclosure include, for example, asthma, autoimmune diseases such as multiple sclerosis, various cancers or neoplasias, ciliopathies, cleft palate, diabetes, heart disease, hypertension, inflammatory bowel disease, mental retardation, mood disorder, obesity, refractive error, infertility, Angelman syndrome, Canavan disease, Coeliac disease, Charcot-Marie-Tooth disease, Cystic fibrosis, Duchenne muscular dystrophy, Haemochromatosis, Haemophilia, Klinefelter's syndrome, Neurofibromatosis, Phenylketonuria, Polycystic kidney disease, (PKD1) or 4 (PKD2) Prader-Willi syndrome, Sickle-cell disease, Tay-Sachs disease, Turner syndrome.

The term “neoplasia” or “cancer” is used throughout the specification to refer to the pathological process that results in the formation and growth of a cancerous or malignant neoplasm, i.e., abnormal tissue that grows by cellular proliferation, often more rapidly than normal and continues to grow after the stimuli that initiated the new growth cease. Malignant neoplasms show partial or complete lack of structural organization and functional coordination with the normal tissue and most invade surrounding tissues, metastasize to several sites, and are likely to recur after attempted removal and to cause the death of the patient unless adequately treated. As used herein, the term neoplasia is used to describe all cancerous disease states (e.g., leukemias, lymphomas, sarcomas, melanomas, and/or carcinomas) and embraces or encompasses the pathological process associated with malignant hematogenous, ascitic and solid tumors. Examples of neoplastic disorders include, but are not limited to, hematopoietic disorders such as, for instance, the myeloproliferative disorders, such as thrombocythemia, essential thrombocytosis (ET), agnogenic myeloid metaplasia, myelofibrosis (MF), myelofibrosis with myeloid metaplasia (MMM), chronic idiopathic myelofibrosis (IMF), and polycythemia vera (PV), the cytopenias, and pre-malignant myelodysplastic syndromes; cancers such as glioma cancers, lung cancers, breast cancers, colorectal cancers, prostate cancers, gastric cancers, esophageal cancers, colon cancers, pancreatic cancers, ovarian cancers, and hematoglogical malignancies, including myelodysplasia, multiple myeloma, leukemias and lymphomas. Examples of hematological malignancies include, for instance, leukemias, lymphomas (non-Hodgkin's lymphoma), Hodgkin's disease (also called Hodgkin's lymphoma), and myeloma—for instance, acute lymphocytic leukemia (ALL), acute myeloid leukemia (AML), acute promyelocytic leukemia (APL), chronic lymphocytic leukemia (CLL), chronic myeloid leukemia (CML), chronic neutrophilic leukemia (CNL), acute undifferentiated leukemia (AUL), anaplastic large-cell lymphoma (ALCL), prolymphocytic leukemia (PML), juvenile myelomonocyctic leukemia (JMML), adult T-cell ALL, AML with trilineage myelodysplasia (AML/TMDS), mixed lineage leukemia (MLL), myelodysplastic syndromes (MDSs), myeloproliferative disorders (MPD), and multiple myeloma, (MM). Exemplary cancers which may be treated by the present compounds either alone or in combination with at least one additional anti-cancer agent include squamous-cell carcinoma, basal cell carcinoma, adenocarcinoma, hepatocellular carcinomas, and renal cell carcinomas, cancer of the bladder, bowel, breast, cervix, colon, esophagus, head, kidney, liver, lung, neck, ovary, pancreas, prostate, and stomach; leukemias; benign and malignant lymphomas, particularly Burkitt's lymphoma and Non-Hodgkin's lymphoma; benign and malignant melanomas; myeloproliferative diseases; sarcomas, including Ewing's sarcoma, hemangiosarcoma, Kaposi's sarcoma, liposarcoma, myosarcomas, peripheral neuroepithelioma, synovial sarcoma, gliomas, astrocytomas, oligodendrogliomas, ependymomas, gliobastomas, neuroblastomas, ganglioneuromas, gangliogliomas, medulloblastomas, pineal cell tumors, meningiomas, meningeal sarcomas, neurofibromas, and Schwannomas; bowel cancer, breast cancer, prostate cancer, cervical cancer, uterine cancer, lung cancer, ovarian cancer, testicular cancer, thyroid cancer, astrocytoma, esophageal cancer, pancreatic cancer, stomach cancer, liver cancer, colon cancer, melanoma; carcinosarcoma, Hodgkin's disease, Wilms' tumor and teratocarcinomas. Additional cancers which may be treated using compounds according to the present disclosure include, for example, T-lineage Acute lymphoblastic Leukemia (T-ALL), T-lineage lymphoblastic Lymphoma (T-LL), Peripheral T-cell lymphoma, Adult T-cell Leukemia, Pre-B ALL, Pre-B Lymphomas, Large B-cell Lymphoma, Burkitts Lymphoma, B-cell ALL, Philadelphia chromosome positive ALL and Philadelphia chromosome positive CML.

The term “leukemia” refers broadly to progressive, malignant diseases of the blood-forming organs and is generally characterized by a distorted proliferation and development of leukocytes and their precursors in the blood and bone marrow. Leukemia is generally clinically classified on the basis of (1) the duration and character of the disease-acute or chronic; (2) the type of cell involved; myeloid (myelogenous), lymphoid (lymphogenous), or monocytic; and (3) the increase or non-increase in the number abnormal cells in the blood-leukemic or aleukemic (subleukemic). Exemplary leukemias that may be treated with a compound, pharmaceutical composition, or method provided herein include, for example, acute nonlymphocytic leukemia, chronic lymphocytic leukemia, acute granulocytic leukemia, chronic granulocytic leukemia, acute promyelocytic leukemia, adult T-cell leukemia, aleukemic leukemia, a leukocythemic leukemia, basophylic leukemia, blast cell leukemia, bovine leukemia, chronic myelocytic leukemia, leukemia cutis, embryonal leukemia, eosinophilic leukemia, Gross' leukemia, hairy-cell leukemia, hemoblastic leukemia, hemocytoblastic leukemia, histiocytic leukemia, stem cell leukemia, acute monocytic leukemia, leukopenic leukemia, lymphatic leukemia, lymphoblastic leukemia, lymphocytic leukemia, lymphogenous leukemia, lymphoid leukemia, lymphosarcoma cell leukemia, mast cell leukemia, megakaryocytic leukemia, micromyeloblastic leukemia, monocytic leukemia, myeloblastic leukemia, myelocytic leukemia, myeloid granulocytic leukemia, myelomonocytic leukemia, Naegeli leukemia, plasma cell leukemia, multiple myeloma, plasmacytic leukemia, promyelocytic leukemia, Rieder cell leukemia, Schilling's leukemia, stem cell leukemia, subleukemic leukemia, or undifferentiated cell leukemia. In embodiments the leukemia is acute myelogenous leukemia (AML), chronic myelogenous leukemia (CML), or precursor B-cell or T-cell acute lymphoblastic Leukemia (ALL).

The term “sarcoma” generally refers to a tumor which is made up of a substance like the embryonic connective tissue and is generally composed of closely packed cells embedded in a fibrillar or homogeneous substance. Sarcomas that may be treated with a compound, pharmaceutical composition, or method provided herein include a chondrosarcoma, fibrosarcoma, lymphosarcoma, melanosarcoma, myxosarcoma, osteosarcoma, Abemethy's sarcoma, adipose sarcoma, liposarcoma, alveolar soft part sarcoma, ameloblastic sarcoma, botryoid sarcoma, chloroma sarcoma, chorio carcinoma, embryonal sarcoma, Wilms' tumor sarcoma, endometrial sarcoma, stromal sarcoma, Ewing's sarcoma, fascial sarcoma, fibroblastic sarcoma, giant cell sarcoma, granulocytic sarcoma, Hodgkin's sarcoma, idiopathic multiple pigmented hemorrhagic sarcoma, immunoblastic sarcoma of B cells, lymphoma, immunoblastic sarcoma of T-cells, Jensen's sarcoma, Kaposi's sarcoma, Kupffer cell sarcoma, angiosarcoma, leukosarcoma, malignant mesenchymoma sarcoma, parosteal sarcoma, reticulocytic sarcoma, Rous sarcoma, serocystic sarcoma, synovial sarcoma, or telangiectaltic sarcoma.

The term “melanoma” is taken to mean a tumor arising from the melanocytic system of the skin and other organs. Melanomas that may be treated with a compound, pharmaceutical composition, or method provided herein include, for example, acral-lentiginous melanoma, amelanotic melanoma, benign juvenile melanoma, Cloudman's melanoma, S91 melanoma, Harding-Passey melanoma, juvenile melanoma, lentigo maligna melanoma, malignant melanoma, nodular melanoma, subungal melanoma, or superficial spreading melanoma.

The term “carcinoma” refers to a malignant new growth made up of epithelial cells tending to infiltrate the surrounding tissues and give rise to metastases. Exemplary carcinomas that may be treated with a compound, pharmaceutical composition, or method provided herein include, for example, medullary thyroid carcinoma, familial medullary thyroid carcinoma, acinar carcinoma, acinous carcinoma, adenocystic carcinoma, adenoid cystic carcinoma, carcinoma adenomatosum, carcinoma of adrenal cortex, alveolar carcinoma, alveolar cell carcinoma, basal cell carcinoma, carcinoma basocellulare, basaloid carcinoma, basosquamous cell carcinoma, bronchioalveolar carcinoma, bronchiolar carcinoma, bronchogenic carcinoma, cerebriform carcinoma, cholangiocellular carcinoma, chorionic carcinoma, colloid carcinoma, comedo carcinoma, corpus carcinoma, cribriform carcinoma, carcinoma en cuirasse, carcinoma cutaneum, cylindrical carcinoma, cylindrical cell carcinoma, duct carcinoma, ductal carcinoma, carcinoma durum, embryonal carcinoma, encephaloid carcinoma, epiermoid carcinoma, carcinoma epitheliale adenoides, exophytic carcinoma, carcinoma ex ulcere, carcinoma fibrosum, gelatiniforni carcinoma, gelatinous carcinoma, giant cell carcinoma, carcinoma gigantocellulare, glandular carcinoma, granulosa cell carcinoma, hair-matrix carcinoma, hematoid carcinoma, hepatocellular carcinoma, Hurthle cell carcinoma, hyaline carcinoma, hypernephroid carcinoma, infantile embryonal carcinoma, carcinoma in situ, intraepidermal carcinoma, intraepithelial carcinoma, Krompecher's carcinoma, Kulchitzky-cell carcinoma, large-cell carcinoma, lenticular carcinoma, carcinoma lenticulare, lipomatous carcinoma, lobular carcinoma, lymphoepithelial carcinoma, carcinoma medullare, medullary carcinoma, melanotic carcinoma, carcinoma molle, mucinous carcinoma, carcinoma muciparum, carcinoma mucocellulare, mucoepidermoid carcinoma, carcinoma mucosum, mucous carcinoma, carcinoma myxomatodes, nasopharyngeal carcinoma, oat cell carcinoma, carcinoma ossificans, osteoid carcinoma, papillary carcinoma, periportal carcinoma, preinvasive carcinoma, prickle cell carcinoma, pultaceous carcinoma, renal cell carcinoma of kidney, reserve cell carcinoma, carcinoma sarcomatodes, schneiderian carcinoma, scirrhous carcinoma, carcinoma scroti, signet-ring cell carcinoma, carcinoma simplex, small-cell carcinoma, solanoid carcinoma, spheroidal cell carcinoma, spindle cell carcinoma, carcinoma spongiosum, squamous carcinoma, squamous cell carcinoma, string carcinoma, carcinoma telangiectaticum, carcinoma telangiectodes, transitional cell carcinoma, carcinoma tuberosum, tubular carcinoma, tuberous carcinoma, verrucous carcinoma, or carcinoma villosum.

In any aspect or embodiment described herein, the disease state or condition is a mutant FLT3-mediated or FLT3-mediated disease or condition in an animal subject (e.g. a mammal such as a human, other primates, sports animals, animals of commercial interest such as cattle, farm animals such as horses, or pets such as dogs and cats), e.g., a disease or condition characterized by abnormal FLT3 activity (e.g. kinase activity). The disease state or condition may be selected from the group consisting of acute myeloic leukemia (AML); mixed lineage leukemia (MLL); acute promyelocytic leukemia; acute lymphocytic leukemia, acute lymphoblastic leukemia, myeloid sarcoma; T-cell type acute lymphocytic leukemia (T-ALL); B-cell type acute lymphocytic leukemia (B-ALL); chronic myelomonocytic leukemia (CMML); myelodysplastic syndrome; myeloproliferative disorders; other proliferative disorders, including, but not limiting to, cancer; autoimmune disorders; and skin disorders, such as psoriasis and atopic dermatitis. In any embodiment or aspect described herein, the FLT3 mediated disease is selected from axonal degeneration, acute transverse myelitis, amyotrophic lateral sclerosis, infantile spinal muscular atrophy, juvenile spinal muscular atrophy, Creutzfeldt-Jakob disease, subacute sclerosing panencephalitis, organ rejection, bone marrow transplant rejection, non-myeloablative bone marrow transplant rejection, ankylosing spondylitis, aplastic anemia, Behcet's disease, graft-versus-host disease, Graves' disease, autoimmune hemolytic anemia, Wegener's granulomatosis, hyper IgE syndrome, lupus, idiopathic thrombocytopenia purpura, or Myasthenia gravis.

In any aspect or embodiment described herein, the FLT3 disorder or an FLT3 related disorder is a neurologicial disorder, such as one or more of a neurodegenerative disease, for example a disease caused by axonal degeneration. The eeurodegenerative diseases may include, for example, multiple sclerosis; demyelinating core disorders, such as multiple sclerosis, acute transverse myelitis; and disorders of the motor unit such as amyotrophic lateral sclerosis, infantile spinal muscular atrophy and juvenile spinal muscular atrophy); Creutzfeldt-Jakob disease; or Subacute sclerosing panencephalitis.

The term “bioactive agent” is used to describe an agent, other than a compound according to the present disclosure, which is used in combination with the present compounds as an agent with biological activity to assist in effecting an intended therapy, inhibition and/or prevention/prophylaxis for which the present compounds are used. Preferred bioactive agents for use herein include those agents which have pharmacological activity similar to that for which the present compounds are used or administered and include for example, anti-cancer agents, antiviral agents, especially including anti-HIV agents and anti-HCV agents, antimicrobial agents, antifungal agents, etc.

The term “additional anti-cancer agent” is used to describe an anti-cancer agent, which may be combined with compounds according to the present disclosure to treat cancer. These agents include, for example, everolimus, trabectedin, abraxane, TLK 286, AV-299, DN-101, pazopanib, GSK690693, RTA 744, ON 0910.Na, AZD 6244 (ARRY-142886), AMN-107, TKI-258, GSK461364, AZD 1152, enzastaurin, vandetanib, ARQ-197, MK-0457, MLN8054, PHA-739358, R-763, AT-9263, a FLT-3 inhibitor, a VEGFR inhibitor, an EGFR TK inhibitor, an aurora kinase inhibitor, a PIK-1 modulator, a Bcl-2 inhibitor, an HDAC inhbitor, a c-MET inhibitor, a PARP inhibitor, a Cdk inhibitor, an EGFR TK inhibitor, an IGFR-TK inhibitor, an anti-HGF antibody, a PI3 kinase inhibitor, an AKT inhibitor, an mTORC1/2 inhibitor, a JAK/STAT inhibitor, a checkpoint-1 or 2 inhibitor, a focal adhesion kinase inhibitor, a Map kinase kinase (mek) inhibitor, a VEGF trap antibody, pemetrexed, erlotinib, dasatanib, nilotinib, decatanib, panitumumab, amrubicin, oregovomab, Lep-etu, nolatrexed, azd2171, batabulin, ofatumumab, zanolimumab, edotecarin, tetrandrine, rubitecan, tesmilifene, oblimersen, ticilimumab, ipilimumab, gossypol, Bio 111, 131-I-TM-601, ALT-110, BIO 140, CC 8490, cilengitide, gimatecan, IL13-PE38QQR, INO 1001, IPdR₁ KRX-0402, lucanthone, LY317615, neuradiab, vitespan, Rta 744, Sdx 102, talampanel, atrasentan, Xr 311, romidepsin, ADS-100380, sunitinib, 5-fluorouracil, vorinostat, etoposide, gemcitabine, doxorubicin, liposomal doxorubicin, 5′-deoxy-5-fluorouridine, vincristine, temozolomide, ZK-304709, seliciclib; PD0325901, AZD-6244, capecitabine, L-Glutamic acid, N-[4-[2-(2-amino-4,7-dihydro-4-oxo-1H-pyrrolo[2,3-d[pyrimidin-5-yl)ethyl]benzoyl]-, disodium salt, heptahydrate, camptothecin, PEG-labeled irinotecan, tamoxifen, toremifene citrate, anastrazole, exemestane, letrozole, DES(diethylstilbestrol), estradiol, estrogen, conjugated estrogen, bevacizumab, IMC-1C11, CHIR-258); 3-[5-(methylsulfonylpiperadinemethyl)- indolyl-quinolone, vatalanib, AG-013736, AVE-0005, goserelin acetate, leuprolide acetate, triptorelin pamoate, medroxyprogesterone acetate, hydroxyprogesterone caproate, megestrol acetate, raloxifene, bicalutamide, flutamide, nilutamide, megestrol acetate, CP-724714; TAK-165, HKI-272, erlotinib, lapatanib, canertinib, ABX-EGF antibody, erbitux, EKB-569, PKI-166, GW-572016, Ionafarnib, BMS-214662, tipifarnib; amifostine, NVP-LAQ824, suberoyl analide hydroxamic acid, valproic acid, trichostatin A, FK-228, SU11248, sorafenib, KRN951, aminoglutethimide, arnsacrine, anagrelide, L-asparaginase, Bacillus Calmette-Guerin (BCG) vaccine, adriamycin, bleomycin, buserelin, busulfan, carboplatin, carmustine, chlorambucil, cisplatin, cladribine, clodronate, cyproterone, cytarabine, dacarbazine, dactinomycin, daunorubicin, diethylstilbestrol, epirubicin, fludarabine, fludrocortisone, fluoxymesterone, flutamide, gleevec, gemcitabine, hydroxyurea, idarubicin, ifosfamide, imatinib, leuprolide, levamisole, lomustine, mechlorethamine, melphalan, 6-mercaptopurine, mesna, methotrexate, mitomycin, mitotane, mitoxantrone, nilutamide, octreotide, oxaliplatin, pamidronate, pentostatin, plicamycin, porfimer, procarbazine, raltitrexed, rituximab, streptozocin, teniposide, testosterone, thalidomide, thioguanine, thiotepa, tretinoin, vindesine, 13-cis-retinoic acid, phenylalanine mustard, uracil mustard, estramustine, altretamine, floxuridine, 5-deooxyuridine, cytosine arabinoside, 6-mecaptopurine, deoxycoformycin, calcitriol, valrubicin, mithramycin, vinblastine, vinorelbine, topotecan, razoxin, marimastat, COL-3, neovastat, BMS-275291, squalamine, endostatin, SU5416, SU6668, EMD121974, interleukin-12, IM862, angiostatin, vitaxin, droloxifene, idoxyfene, spironolactone, finasteride, cimitidine, trastuzumab, denileukin diftitox, gefitinib, bortezimib, paclitaxel, cremophor-free paclitaxel, docetaxel, epithilone B, BMS-247550, BMS-310705, droloxifene, 4-hydroxytamoxifen, pipendoxifene, ERA-923, arzoxifene, fulvestrant, acolbifene, lasofoxifene, idoxifene, TSE-424, HMR-3339, ZK186619, topotecan, PTK787/ZK 222584, VX-745, PD 184352, rapamycin, 40-O-(2-hydroxyethyl)-rapamycin, temsirolimus, AP-23573, RAD001, ABT-578, BC-210, LY294002, LY292223, LY292696, LY293684, LY293646, wortmannin, ZM336372, L-779,450, PEG-filgrastim, darbepoetin, erythropoietin, granulocyte colony-stimulating factor, zolendronate, prednisone, cetuximab, granulocyte macrophage colony-stimulating factor, histrelin, pegylated interferon alfa-2a, interferon alfa-2a, pegylated interferon alfa-2b, interferon alfa-2b, azacitidine, PEG-L-asparaginase, lenalidomide, gemtuzumab, hydrocortisone, interleukin-11, dexrazoxane, alemtuzumab, all-transretinoic acid, ketoconazole, interleukin-2, megestrol, immune globulin, nitrogen mustard, methylprednisolone, ibritgumomab tiuxetan, androgens, decitabine, hexamethylmelamine, bexarotene, tositumomab, arsenic trioxide, cortisone, editronate, mitotane, cyclosporine, liposomal daunorubicin, Edwina-asparaginase, strontium 89, casopitant, netupitant, an NK-1 receptor antagonist, palonosetron, aprepitant, diphenhydramine, hydroxyzine, metoclopramide, lorazepam, alprazolam, haloperidol, droperidol, dronabinol, dexamethasone, methylprednisolone, prochlorperazine, granisetron, ondansetron, dolasetron, tropisetron, pegfilgrastim, erythropoietin, epoetin alfa, darbepoetin alfa and mixtures thereof.

The term “anti-HIV agent” or “additional anti-HIV agent” includes, for example, nucleoside reverse transcriptase inhibitors (NRTI), other non-nucloeoside reverse transcriptase inhibitors (i.e., those which are not representative of the present disclosure), protease inhibitors, fusion inhibitors, among others, exemplary compounds of which may include, for example, 3TC (Lamivudine), AZT (Zidovudine), (−)-FTC, ddI (Didanosine), ddC (zalcitabine), abacavir (ABC), tenofovir (PMPA), D-D4FC (Reverset), D4T (Stavudine), Racivir, L-FddC, L-FD4C, NVP (Nevirapine), DLV (Delavirdine), EFV (Efavirenz), SQVM (Saquinavir mesylate), RTV (Ritonavir), IDV (Indinavir), SQV (Saquinavir), NFV (Nelfinavir), APV (Amprenavir), LPV (Lopinavir), fusion inhibitors such as T20, among others, fuseon and mixtures thereof, including anti-HIV compounds presently in clinical trials or in development.

Other anti-HIV agents which may be used in coadministration with compounds according to the present disclosure include, for example, other NNRTI's (i.e., other than the NNRTI's according to the present disclosure) may be selected from the group consisting of nevirapine (BI-R6-587), delavirdine (U-901525/T), efavirenz (DMP-266), UC-781 (N-[4-chloro-3-(3-methyl-2-butenyloxy)phenyl]-2methyl3-furancarbothiamide), etravirine (TMC 125), Trovirdine (Ly300046.HCl), MKC-442 (emivirine, coactinon), HI-236, HI-240, HI-280, HI-281, rilpivirine (TMC-278), MSC-127, HBY 097, DMP266, Baicalin (TJN-151) ADAM-II (Methyl 3′,3′-dichloro-4′,4″-dimethoxy-5′,5″-bis(methoxycarbonyl)-6,6-diphenylhexenoate), Methyl 3-Bromo-5-(1-5-bromo-4-methoxy-3-(methoxycarbonyl)phenyl)hept-1-enyl)-2-methoxybenzoate (Alkenyldiarylmethane analog, Adam analog), (5-chloro-3-(phenylsulfinyl)-2′-indolecarboxamide), AAP-BHAP (U-104489 or PNU-104489), Capravirine (AG-1549, S-1153), atevirdine (U-87201E), aurin tricarboxylic acid (SD-095345), 1-[(6-cyano-2-indolyl)carbonyl]-4-[3-(isopropylamino)-2-pyridinyl]piperazine, 1-[5-[[N-(methyl)methylsulfonylamino]-2-indolylcarbonyl-4- [3-(isopropylamino)-2-pyridinyl]piperazine, 1-[3-(Ethylamino)-2- [pyridinyl]-4-[(5-hydroxy-2-indolyl)carbonyl]piperazine, 1-[(6-Formyl-2-indolyl)carbonyl]-4-[3-(isopropylamino)-2-pyridinyl]piperazine, 1-[[5-(Methylsulfonyloxy)-2-indoyly)carbonyl]-4-[3-(isopropylamino)-2-pyridinyl]piperazine, U88204E, Bis(2-nitrophenyl)sulfone (NSC 633001), Calanolide A (NSC675451), Calanolide B, 6-B enzyl-5-methyl-2-(cyclohexyloxy)pyrimidin-4-one (DABO-546), DPC 961, E-EBU, E-EBU-dm, E-EPSeU, E-EPU, Foscarnet (Foscavir), HEPT (1-[(2-Hydroxyethoxy)methyl]-6-(phenylthio)thymine), HEPT-M (1-[(2-Hydroxyethoxy)methyl]-6-(3-methylphenyl)thio)thymine), HEPT-S(1-[(2-Hydroxyethoxy)methyl]-6-(phenylthio)-2-thiothymine), Inophyllum P, L-737,126, Michellamine A (NSC650898), Michellamine B (NSC649324), Michellamine F, 6-(3,5-Dimethylbenzyl)-1-[(2-hydroxyethoxy)methyl]-5-isopropyluracil, 6-(3,5-Dimethylbenzyl)-1-(ethyoxymethyl)-5-isopropyluracil, NPPS, E-BPTU (NSC 648400), Oltipraz (4-Methyl-5-(pyrazinyl)-3H-1,2-dithiole-3-thione), N-{2-(2-Chloro-6-fluorophenethyl]-N′-(2-thiazolyl)thiourea (PETT Cl, F derivative), N-{2-(2,6-Difluorophenethyl]-N′-[2-(5-bromopyridyl)]thiourea {PETT derivative), N-{2-(2,6-Difluorophenethyl]-N′-[2-(5-methylpyridyl)]thiourea {PETT Pyridyl derivative), N-[2-(3-Fluorofuranyl)ethyl]-N′-[2-(5-chloropyridyl)] thiourea, N-[2-(2-Fluoro-6-ethoxyphenethyl)]-N′-[2-(5-bromopyridyl)]thiourea, N-(2-Phenethyl)-N′-(2-thiazolyl)thiourea (LY-73497), L-697,639, L-697,593, L-697,661, 342-(4,7-Difluorobenzoxazol-2-yl)ethyl}-5-ethyl-6-methyl(pypridin-2(1H)-thione (2-Pyridinone Derivative), 3- [[(2-Methoxy-5,6-dimethyl-3-pyridyl)methyl]amine]-5-ethyl-6-methyl(pypridin-2(1H)-thione, R82150, R82913, R87232, R88703, R89439 (Loviride), R90385, S-2720, Suramin Sodium, TBZ (Thiazolobenzimidazole, NSC 625487), Thiazoloisoindol-5-one, (+)(R)-9b-(3,5-Dimethylphenyl-2,3-dihydrothiazolo[2,3-a]isoindol-5(9bH)-one, Tivirapine (R86183), UC-38 and UC-84, among others.

The term “pharmaceutically acceptable salt” is used throughout the specification to describe, where applicable, a salt form of one or more of the compounds described herein which are presented to increase the solubility of the compound in the gastic juices of the patient's gastrointestinal tract in order to promote dissolution and the bioavailability of the compounds. Pharmaceutically acceptable salts include those derived from pharmaceutically acceptable inorganic or organic bases and acids, where applicable. Suitable salts include those derived from alkali metals such as potassium and sodium, alkaline earth metals such as calcium, magnesium and ammonium salts, among numerous other acids and bases well known in the pharmaceutical art. Sodium and potassium salts are particularly preferred as neutralization salts of the phosphates according to the present disclosure.

The term “pharmaceutically acceptable derivative” is used throughout the specification to describe any pharmaceutically acceptable prodrug form (such as an ester, amide other prodrug group), which, upon administration to a patient, provides directly or indirectly the present compound or an active metabolite of the present compound.

Protein Level Control

This description also provides methods for the control of protein levels with a cell. This is based on the use of compounds as described herein, which are known to interact with a specific target protein such that degradation of a target protein in vivo will result in the control of the amount of protein in a biological system, preferably to a particular therapeutic benefit.

The following examples are used to assist in describing the present invention, but should not be seen as limiting the present invention in any way.

General Synthetic Approach

The synthetic realization and optimization of the bifunctional molecules as described herein may be approached in a step-wise or modular fashion. For example, identification of compounds that bind to the target molecules can involve high or medium throughput screening campaigns if no suitable ligands are immediately available. It is not unusual for initial ligands to require iterative design and optimization cycles to improve suboptimal aspects as identified by data from suitable in vitro and pharmacological and/or ADMET assays. Part of the optimization/SAR campaign would be to probe positions of the ligand that are tolerant of substitution and that might be suitable places on which to attach the linker chemistry previously referred to herein. Where crystallographic or NMR structural data are available, these can be used to focus such a synthetic effort.

In a very analogous way one can identify and optimize ligands for an E3 Ligase, i.e. ULMs/ILMs/VLMs/CLMs/ILMs.

With PTMs and ULMs (e.g. ILMs, VLMs, CLMs, and/or ILMs) in hand, one skilled in the art can use known synthetic methods for their combination with or without a linker moiety. Linker moieties can be synthesized with a range of compositions, lengths and flexibility and functionalized such that the PTM and ULM groups can be attached sequentially to distal ends of the linker. Thus a library of bifunctional molecules can be realized and profiled in in vitro and in vivo pharmacological and ADMET/PK studies. As with the PTM and ULM groups, the final bifunctional molecules can be subject to iterative design and optimization cycles in order to identify molecules with desirable properties.

In some instances, protecting group strategies and/or functional group interconversions (FGIs) may be required to facilitate the preparation of the desired materials. Such chemical processes are well known to the synthetic organic chemist and many of these may be found in texts such as “Greene's Protective Groups in Organic Synthesis” Peter G. M. Wuts and Theodora W. Greene (Wiley), and “Organic Synthesis: The Disconnection Approach” Stuart Warren and Paul Wyatt (Wiley).

2-amino-1,3-benzothiazol-6-ol

Thiourea (3.8 g) was dissolved in ethanol (50 ml) and conc. HCl (4.5 ml) added. Benzoquinone (10.8 g) was added dropwise as a hot solution of ethanol (50 ml) and the reaction stirred at room temperature overnight. Reaction complete by TLC (10% MeOH/DCM) and LC-MS. Concentrated in vacuo, triturated with hot acetonitrile and washed with ice cold ethanol. Residue dissolved in the minimum amount of water and precipitated by the addition of concentrate HCl. Collected by filtration and dried in vacuo. HCl salt dissolved/suspended in water (150 ml) and treated with saturated sodium bicarbonate solution until pH 7-8. Extracted with ethyl acetate (3×50 ml) and concentrated in vacuo. NMR and LC-MS conform to structure and match literature reports.

2-(4-nitrophenyl)imidazo[2,1-b][1,3]benzothiazol-6-ol

2-amino-1,3-benzothiazol-6-ol (1000 mg), 2-bromo-1-(4-nitrophenyl)ethanone (1615 mg) and NaHCO₃ (757 mg) dissolved in N-butanol (100 ml) and heated to reflux for 3 hours until amine s.m. was consumed by TLC (1:1 ethyl acetate/hexane). Cooled to 0° C. in an ice bath and precipitate collected by filtration—yellow solid. Solid resuspended in water and stirred for 30 minutes and filtered again. Solid resuspended in acetone and stirred for 30 minutes. Product collected as solid by filtration and washed with acetone. Dried in vacuo. NMR and LC-MS conform to structure and match literature reports.

2-(4-aminophenyl)imidazo[2,1-b][1,3]benzothiazol-6-ol

2-(4-nitrophenyl)imidazo[2,1-b][1,3]benzothiazol-6-ol (650 mg) suspended in ethanol (50 ml) and SnCl₂.H₂O (2356 mg) added and reaction heated to reflux overnight. Reaction mixture allowed to cool to room temperature and diluted with water (50 ml) and DCM (100 ml). Neutralised with sat. NaHCO3 and organics separated. Aqueous extracted again with DCM (50 ml). Organics combined, dried over MgSO₄ and concentrated in vacuo to a pale yellow solid. NMR and LC-MS conform to structure and match literature reports.

phenyl N-(5-tert-butylisoxazol-3-yl)carbamate

5-tert-butylisoxazol-3-amine (2 g) dissolved in THF and potassium carbonate (2563 mg) added. Phenyl chloroformate (1.88 ml) added dropwise and reaction stirred at room temperature for 2 hours until no starting material remaining by TLC (DCM). Reaction mixture filtered and filtrate concentrated to 20% volume and treated with water (40 ml) and ethanol (until monophasic) and stirred for 1 hour. Resulting precipitate collected by filtration and dried in vacuo. NMR and LC-MS conform to structure and match literature reports.

1-(5-tert-butylisoxazol-3-yl)-3-[4-(6-hydroxyimidazo[2,1-b][1,3]benzothiazol-2-yl)phenyl]urea

2-(4-aminophenyl)imidazo[2,1-b][1,3]benzothiazol-6-ol (370 mg), phenyl N-(5-tert-butylisoxazol-3-yl)carbamate (377 mg), DMAP (9.6 mg) and TEA (27 μL) were dissolved in DCM. Reaction mixture stirred overnight at reflux then cooled to 0° C. for 30 minutes. Precipitate collected by filtration and washed with ice cold DCM and ice cold hexane and dried in vacuo to give a colourless solid. NMR and LC-MS conform to structure and match literature reports.

Linkers were Introduced Using the Following Generic Conditions.

1-(5-tert-butylisoxazol-3-yl)-3-[4-(6-hydroxyimidazo[2,1-b][1,3]benzothiazol-2-yl)phenyl]urea (1 eq.) was dissolved in dioxane (1 ml per 10 mg starting material) and Cs₂CO₃ (1.5 eq.) added followed by linker (1.1 eq.) iodide compounds. The reaction mixture was heated to 100° C. for 4 hours under microwave conditions. The resulting mixture was filtered, concentrated in vacuo and purified by column chromatography eluting with 40-100% ethyl acetate/hexane. NMR and LC-MS conform to structure.

T-Butyl Esters were Cleaved Using the Following Generic Conditions.

T-butyl ester compound was dissolved in 20% TFA in DCM and stirred for 2 hours. The reaction mixture was concentrated in vacuo and used immediately in the next step.

E3 Recruiting Elements were Introduced Using the Following Generic Conditions.

Carboxylic Acid TFA salts (1 eq.), E3 recruiting element amine (1.1 eq.) HATU (1.1 eq) and TEA (5 eq.) were dissolved in DMF and stirred at room temperature overnight. The resulting solution was partitioned between water and ethyl acetate. The organic layer was separated, washed with water and brine, dried over MgSO₄ and concentrated in vacuo. The residue was purified by chromatography eluting with 0-10% methanol in DCM. NMR and LC-MS conform to structure.

Examples Assays and Degradation Data

Protocol for the Cellular Assay of Target Protein Degradation (MV-4-11 Cells, Westernblot).

MV-4-11 cells (approximately 1 million cells per well) were treated with the indicated concentrations (5-500 nm) of compound for 24 hours. The cells were spun down and washed twice with PBS. The cells were suspended by lysis buffer (50 mM Tris (pH7.4), 150 mM NaCl, 1 mM EDTA, 0.5% NP-40, phosphatase and protease inhibitors) and incubated for an additional 30 min at 4° C. for complete lysis. After another centrifugation (13000 rpm for 15 minutes), the supernatants were kept as cell lysates. The protein concentration of the cell lysates was determined via the bicinchoninic acid (BCA) method. Equal amounts (10-20 μg) of protein samples were subjected to 8-15% SDS-PAGE. The proteins were transferred to nitrocellulose membrane and probed with antibodies specific for FLT-3 and GAPDH. As shown in FIG. 2, the exemplary PROTACs were induced protein degradation, whereas Quizartinib did not. Furthermore, PROTAC-34 also demonstrated an ability to induce apoptosis in MV4-11 cells, as shown by cleaved caspase-3 in FIG. 3A and quantified in 3B.

Protocol for the Cell Proliferation Assays (MV-4-11 Cells).

MV-4-11 or Molm 14 cells were seeded in 96-well plates at a density of 1×10⁴ cells/well and treated with various concentrations of the test compounds for 72 hours. The highest concentration was 500 nM and was serially diluted 5-fold seven times. After incubation, 20 μl/well of CellTiter 96® AQueous One Solution Reagent (Promega®) was added and the plate was incubated an additional 3 hours. The absorbance was measured at 490 nm, and cell viability was calculated by comparing to the absorbance of the vehicle-treated control group using GraphPad Prism 7.

Cell viability/survival is illustrated in FIGS. 4A, 4B and 4C, as determined by a cell proliferation assay. The associated IC₅₀ (nM) for exemplary bifunctional compounds of the present disclosure or Quizartinib as a control of FIGS. 2, 4A, 4B, and 4C, is shown in Tables 1 and 2 below. DC50, IC50, MH+, and NMR data for exemplary PROTAC-34 through PROTAC-38 and PROTAC-34-Epimer (structure shown below) is shown in Table 3 below. FLT-3 protein degradation is shown in FIGS. 3A and 3B treated with either exemplary bifunctional compounds of the present disclosure or Quizartinib as a control.

TABLE 1 IC₅₀ for MV4-11 cells treated with bifunctional compounds of the present disclosure IC₅₀ (nM) Compounds MV4-11 PROTAC-35 12.91 PROTAC-34 0.6723 Quizartinib 2.338

TABLE 2 IC₅₀ for MV4-11 cells treated with bifunctional compounds of the present disclosure IC₅₀ (nM) Compounds MV4-11 PROTAC-38 43.01 PROTAC-35 11.88 Quizartinib 1.755

PROTAC-34-Epimer has the following chemical structure:

TABLE 3 Characteristics of Exemlary PROTACs DC₅₀ and/or IC₅₀ (uM) Compound [cell line] MH+ (1) NMR transcript PROTAC-38 IC₅₀ − 43 nM 1090.5712 [MV4-11] No degradation observed PROTAC-35 IC50₅₀ − 11.8 nM  962.3730 ¹H NMR (400 MHz, Chloroform-d) δ 8.69 [MV4-11] (s, 1H), 8.58 (s, 1H), 7.85 (s, 1H), 7.49 (d, DC₅₀~50 nM J = 8.0 Hz, 2H), 7.37-7.15 (m, 8H), 7.06 [MV4-11] (d, J = 8.7 Hz, 1H), 6.90 (s, 1H), 6.68 (d, J = 8.8 Hz, 1H), 6.35 (s, 1H), 4.81 (d, J = 8.2 Hz, 1H), 4.59 (m, 4H), 4.29 (dd, J = 14.7, 5.1 Hz, 1H), 4.20-3.94 (m, 3H), 3.86- 3.58 (m, 8H), 2.42 (m, 5H), 1.32 (s, 9H), 1.06 (s, 9H). PROTAC-37 No degradation 1004.4254 observed PROTAC-36 IC₅₀ − 240.9 nM  890.6568 [MV4-11] No degradation observed PROTAC-34 IC₅₀ − 0.60 nM 1020.4365 ¹H NMR (400 MHz, DMSO-d₆) δ 9.54 (s, [MV4-11] 1H), 8.94 (s, 1H), 8.90 (s, 1H), 7.94 (d, = DC₅₀~5 nM 9.4 Hz, 1H), 7.83 (d, J = 8.9 Hz, 1H), 7.74 [MV4-11] (d, J = 8.6 Hz, 2H), 7.64 (d, J = 2.5 Hz, 1H), 7.48 (d, J = 8.7 Hz, 2H), 7.36 (q, J = 8.3 Hz, 4H), 7.12 (dd, J = 8.9, 2.5 Hz, 1H), 4.52 (d, J = 9.4 Hz, 1H), 4.45-4.35 (m, 2H), 4.21-4.07 (m, 3H), 3.73 (dd, J = 5.6, 3.6 Hz, 2H), 3.55 (m, 8H), 2.40 (s, 3H), 2.05-1.96 (m, 1H), 1.86 (ddd, J = 12.9, 8.8, 4.6 Hz, 1H), 1.26 (s, 9H), 0.89 (s, 9H). PROTAC- IC₅₀ − 2.27 nM 1020.4407 ¹H NMR (400 MHz, DMSO-d6) δ 9.50 (s, 34-Epimer [MV4-11] 1H), 8.93 (s, 1H), 8.85 (s, 1H), 8.57 (s, No degradation 1H), 8.18 (s, 1H), 7.96 (d, J = 8.1 Hz, 1H), observed 7.82 (d, J = 8.9 Hz, 1H), 7.80-7.72 (m, 2H), 7.62 (d, J = 2.5 Hz, 1H), 7.52-7.42 (m, 2H), 7.38 (d, J = 8.3 Hz, 2H), 7.30 (s, 1H), 7.11 (dd, J = 8.9, 2.5 Hz, 1H), 6.49 (s, 1H), 5.08 (d, J = 3.9 Hz, 1H), 4.43-4.24 (m, 4H), 4.21-4.01 (m, 3H), 3.73 (dq, J = 14.5, 4.8 Hz, 3H), 3.57-3.38 (m, 6H), 2.40 (s, 3H), 1.27 (s, 9H), 0.93 (s, 9H).

Pharmacokinetics of Exemplary Compounds.

FIG. 5: PK profile of PROTAC-34 demonstrating exposure in mice when dosed intravenously or intraperitoneally.

In Vitro Kinase Binding Affinity Determination for PROTAC-34.

In vitro binding activity of PROTAC-34 for kinases was determined using the KINOMEscan™ platform (DiscoverRx Corporation). The compounds were solubilized in DMSO and sent to DiscoverRx Corporation as 10 μM stock solutions. The KINOMEscan™ Dendrogram of FIG. 6 illustrates the kinases that are bound at 1 μM of PROTAC-34. The circles represent kinases which are occupied by PROTAC-34 in a competition assay, wherein the size of the circles represent the percent occupancy. The Dendrogram demonstrates that PROTAC-34 is more selective than Quizartinib.

In Vivo Xenograft Model.

MV4-11 cells were injected subcutaneously into the flank of athymic mice and allowed to proliferate until tumours reached an average of about 200 mm³ at which point mice were treated with vehicle, PROTAC-34 or Epimer control of PROTAC-34 once a day at 30 or 100 mg/kg for 3 days. Mice were sacrificed and tumours collected, and westernblots performed as described above. As shown in FIG. 7A, and quantified in FIG. 7B, PROTAC-34 treatment resulted in a decrease in FLT-3 and pSTAT5, which is involved in angiogenesis and cell motility.

Specific Embodiments of the Present Disclosure

The present disclosure encompasses the following specific embodiments. These following embodiments may include all of the features recited in a proceeding embodiment, as specified. Where applicable, the following embodiments may also include the features recited in any proceeding embodiment inclusively or in the alternative.

In certain embodiments, the description provides the following exemplary FLT3 PROTAC molecules (e.g., PROTAC-1 through PROTAC-38), including salts, prodrugs, polymorphs, analogs, derivatives, and deuterated forms thereof:

In certain other embodiments, the description provides exemplary FLT3 PROTAC molecules by selecting a PTM from Table 4 (e.g., a PTM selected from the group consisting of PTM1 through PTM18), a linker from Table 5 (e.g., a linker selected from the group consisting of Linker1 through Linker9), and a ULM from Table 6 (e.g., a linker selected from the group consisting of ULM1 through ULM6), including salts, prodrugs, polymorphs, analogs, derivatives, and deuterated forms thereof:

TABLE 4 Exemplary PTMs PTM Number Chemical Structure PTM1

PTM2

PTM3

PTM4

PTM5

PTM6

PTM7

PTM8

PTM9

PTM10

PTM11

PTM12

PTM13

PTM14

PTM15

PTM16

PTM17

PTM18

TABLE 5 Exemplary Linkers Linker Number Chemical Structure Linker1

Linker2

Linker3

Linker4

Linker5

Linker6

Linker7

Linker 8

Linker 9

TABLE 6 Exemplary ULMs ULM Number Structure ULM1

ULM2

ULM3

ULM4

ULM5

ULM6

As such, the description provides a compound comprising the structure of any one of compound PROTAC-1 through PROTAC-38, therapeutic compositions comprising the same, and methods of use as described herein.

Additionally, the description provides a compound comprising at least one of a PTM from Table 4 (i.e., a PTM selected from the group consisting of PTM1-PTM18), a linker from Table 5 (i.e., a linker selected from the group consisting of Linker1-Linker9), a ULM from Table 6 (i.e., a ULM selected from the group consisting of ULM1-ULM6), or a combination thereof, including salts, prodrugs, polymorphs, analogs, derivatives, and deuterated forms thereof.

In certain embodiments, the description provides a composition comprising a compound having the structure selected from the group consisting of PROTAC-1 through PROTAC-38, including salts, prodrugs, polymorphs, analogs, derivatives, and deuterated forms thereof.

In other embodiments, the description provides a composition comprising a compound having at least one of a PTM from Table 4 (i.e., a PTM selected from the group consisting of PTM1-PTM18), a linker from Table 5 (i.e., a linker selected from the group consisting of Linker1-Linker9), a ULM from Table 6 (i.e., a ULM selected from the group consisting of ULM1-ULM6), or a combination thereof, including salts, prodrugs, polymorphs, analogs, derivatives, and deuterated forms thereof.

In an aspect, the present disclosure provides a bifunctional compound having the chemical structure:

ULM-L-PTM,

or a pharmaceutically acceptable salt, enantiomer, stereoisomer, solvate, polymorph or prodrug thereof, wherein: the ULM is a small molecule E3 ubiquitin ligase binding moiety that binds an E3 ubiquitin ligase; the PTM is a small molecule comprising a FLT3 protein targeting moiety; and the L is a bond or a chemical linking moiety connecting the ULM and the PTM.

In any aspect or embodiment described herein, the E3 ubiquitin ligase binding moiety that targets an E3 ubiquitin ligase selected from the group consisting of Von Hippel-Lindau (VLM), cereblon (CLM), mouse double-minute homolog2 (MLM), and IAP (ILM).

In any aspect or embodiment described herein, the PTM is represented by Formula PTM-I or PTM-II:

or N-oxides thereof, wherein:

-   -   q of PTM-I or PTM-II is 0, 1 or 2;     -   p of PTM-I or PTM-II is 0 or 1;     -   Q of PTM-I or PTM-II is NH, N(alkyl), O, 1 or a direct bond;     -   X of PTM-I or PTM-II is N or CH;     -   Z of PTM-I or PTM-II is NH, N(alkyl), or CH2;     -   B of PTM-I or PTM-II is aryl (wherein said aryl is preferably         phenyl), cyclopentadienyl, cycloalkyl (wherein said cycloalkyl         is preferably cyclopentanyl, cyclohexanyl, cyclopentenyl or         cyclohexenyl), heteroaryl (wherein said heteroaryl is preferably         pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl,         pyranyl, thiopyranyl, pyridinyl, pyrimidinyl, pyrazinyl,         pyridinyl-N-oxide, or pyrrolyl-N-oxide, and most preferably         pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl,         pyridinyl, pyrimidinyl, or pyrazinyl), or a nine to ten membered         benzo-fused heteroaryl (wherein said nine to ten membered         benzo-fused heteroaryl is preferably benzothiazolyl,         benzooxazolyl, benzoimidazolyl, benzofuranyl, indolyl,         quinolinyl, isoquinolinyl, or benzo [b]thiophenyl);     -   R₁ is H,

-   -   wherein n is 1, 2, 3 or 4;     -   R_(a) of PTM-I or PTM-II is hydrogen, heteroaryl optionally         substituted with R₅ (wherein said heteroaryl is preferably         pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl,         pyranyl, thiopyranyl, pyridinyl, pyrimidinyl, triazolyl,         pyrazinyl, pyridinyl-N-oxide, or pyrrolyl-N-oxide, and most         preferably pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl,         oxazolyl, pyridinyl, pyrimidinyl, triazolyl, or pyrazinyl),         hydroxyl, alkylamino, dialkylamino, oxazolidinonyl optionally         substituted with R₅, pyrrolidinonyl optionally substituted with         R₅, piperidinonyl optionally substituted with R₅, cyclic         heterodionyl optionally substituted with R₅, heterocyclyl         optionally substituted with R₅ (wherein said heterocyclyl is         preferably pyrrolidinyl, tetrahydrofuranyl,         tetrahydrothiophenyl, imidazolidinyl, thiazolidinyl,         oxazolidinyl, tetrahydropyranyl, tetrahydrothiopyranyl,         thiomorphlinyl, thiomorpholinyl-1, 1-dioxide, piperidinyl,         morpholinyl or piperazinyl), —COOR_(y), —CONR_(w)R_(x),         —N(R_(y))CON(R_(w))(R_(x)), —N(R_(w))C(O)OR_(x),         —N(R_(w))COR_(y), —SR_(y), —SOR_(y), —SO₂R_(y), —NR_(w)SO₂R_(y),         —NR_(w)SO₂R_(x), —SO₃R_(y), or —OSO₂NR_(w)R_(x);     -   R_(bb) of PTM-I or PTM-II is hydrogen, halogen, aryl,         heteroaryl, or heterocyclyl;     -   R₅ of PTM-I or PTM-II is one, two, or three substituents         independently selected from: halogen, cyano, trifluoromethyl,         amino, hydroxyl, alkoxy, —C(O)alkyl, —SO₂alkyl, C(O)N(alkyl)₂,         alkyl, —C₍₁₋₄₎alkyl-OH, or alkylamino;     -   R_(w) and R_(x) of PTM-I or PTM-II are independently selected         from: hydrogen, alkyl, alkenyl, aralkyl (wherein the aryl         portion of said aralkyl is preferrably phenyl), or heteroaralkyl         (wherein the heteroaryl portion of said heteroaralkyl is         preferably pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl,         oxazolyl, pyranyl, thiopyranyl, pyridinyl, pyrimidinyl,         pyrazinyl, pyridinyl-N-oxide, or pyrrolyl-N-oxide, and most         preferably pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl,         oxazolyl, pyridinyl, pyrimidinyl, or pyrazinyl), or R_(w) and         R_(x) may optionally be taken together to form a 5 to 7 membered         ring, optionally containing a heteromoiety selected from: O, NH,         N(alkyl), SO₂, SO, or S, preferably selected from the group         consisting of:

-   -   R_(y) of PTM-I or PTM-II is selected from: hydrogen, alkyl,         alkenyl, cycloalkyl (wherein said cycloalkyl is preferably         cyclopentanyl or cyclohexanyl), aryl (wherein said aryl is         preferably phenyl), aralkyl (wherein the aryl portion of said         aralkyl is preferably phenyl), heteroaralkyl (wherein the         heteroaryl portion of said heteroaralkyl is preferably pyrrolyl,         furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl, pyranyl,         thiopyranyl, pyridinyl, pyrimidinyl, pyrazinyl,         pyridinyl-N-oxide, or pyrrolyl-N-oxide, and most preferably         pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl,         pyridinyl, pyrimidinyl, or pyrazinyl), or heteroaryl (wherein         said heteroaryl is preferably pyrrolyl, furanyl, thiophenyl,         imidazolyl, thiazolyl, oxazolyl, pyranyl, thiopyranyl,         pyridinyl, pyrimidinyl, pyrazinyl, pyridinyl-N-oxide, or         pyrrolyl-N-oxide, and most preferably pyrrolyl, furanyl,         thiophenyl, imidazolyl, thiazolyl, oxazolyl, pyridinyl,         pyrimidinyl, or pyrazinyl);     -   R₃ of PTM-I or PTM-II is one or more substituents, optionally         present, and independently selected from: alkyl, alkoxy,         halogen, alkoxyether, hydroxyl, thio, nitro, cycloalkyl         optionally substituted with R4 (wherein said cycloalkyl is         preferably cyclopentanyl or cyclohexanyl), heteroaryl optionally         substituted with R4 (wherein said heteroaryl is preferably         pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl,         pyranyl, thiopyranyl, pyridinyl, pyrimidinyl, pyrazinyl,         pyridinyl-N-oxide, or pyrrolyl-N-oxide; and most preferably         pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl,         pyridinyl, pyrimidinyl, or pyrazinyl), alkylamino, heterocyclyl         optionally substituted with R4 (wherein said heterocyclyl is         preferably azapenyl, pyrrolidinyl, tetrahydrofuranyl,         tetrahydrothiophenyl, imidazolidinyl, thiazolidinyl,         oxazolidinyl, tetrahydropyranyl, tetrahydrothiopyranyl,         piperidinyl, morpholinyl, or piperazinyl), partially unsaturated         heterocyclyl optionally substituted with R₄, (wherein said         partially unsaturated heterocyclyl is preferably         tetrahydropyridinyl. tetrahydropyrazinyl, dihydrofuranyl,         dihydrooxazinyl, dihydropyrrolyl, or dihydroimidazolyl),         —O(cycloalkyl), pyrrolidinone optionally substituted with R₄,         phenoxy optionally substituted with R₄, —CN, —OCHF₂, —OCF₃,         —CF₃, halogenated alkyl, heteroaryloxy optionally substituted         with R₄, dialkylamino, —NHSO₂alkyl, thioalkyl, or —SO₂alkyl;         wherein R4 is independently selected from: halogen, cyano,         trifluoromethyl, amino, hydroxyl, alkoxy, —C(O)alkyl, —CO₂alkyl,         —SO₂alkyl, —C(O)N(alkyl)₂, alkyl, or alkylamino; and     -   the PTM-I or PTM-II is covalently joined to a ULM, a chemical         linker group (L), a CLM, an ILM, a VLM, MLM, a ULM′, a CLM′, a         ILM′, a VLM′, a MLM′, or combination thereof.

In any aspect or embodiment described herein, the PTM is represented by Formula PTM-III:

wherein:

-   -   A of PTM-III is selected from phenyl or pyridyl, either of which         may be substituted with one of chloro, fluoro, methyl, —N₃,         —NH₂, —NH(alkyl), —N(alkyl)₂, —S(alkyl), O(alkyl), or         4-aminophenyl;     -   W of PTM-III is selected from pyrrolyl (including         1H-pyrrol-2-yl), imidazolyl, (including 1H-imidazol-2-yl),         isoxazolyl, oxazolyl, 1,2,4 triazolyl, or furanyl (including         furan-2-yl), any of which may be connected through any carbon         atom, wherein the pyrrolyl, imidazolyl, isoxazolyl, oxazolyl,         1,2,4 triazolyl, or furanyl may contain one —Cl, —CN, —NO₂,         —OMe, or —CF₃ substitution, connected to any other carbon;     -   R² of PTM-III is selected from cycloalkyl (including         cyclohexenyl, cyclopentenyl), thiophenyl, dihydrosulfonopyranyl,         phenyl, furanyl, tetrahydropyridyl, or dihydropyranyl, any of         which may be independently substituted with one or two of each         of the following: chloro, fluoro, and C₍₁₋₃₎alkyl (including         4,4-dimethyl cyclohexenyl, 4-methyl cyclohexenyl, 2-methyl         thiophenyl, 3-methyl thiophenyl), with the proviso that         tetrahydropyridyl is connected to the ring A through a         carbon-carbon bond;     -   X of PTM-III is selected from:

-   -   Z of PTM-III is CH or N;     -   D¹ and D² of PTM-III are each hydrogen or taken together form a         double bond to an oxygen;     -   D³ and D⁴ of PTM-III are each hydrogen or taken together form a         double bond to an oxygen;     -   D⁵ of PTM-III is selected from hydrogen or —CH₃, wherein said         —CH₃ may be relatively oriented syn or anti;     -   R_(a) and R_(b) of PTM-III are independently selected from         hydrogen, cycloalkyl, haloalkyl, aryl, aralkyl, heteroaryl, or         heteroaralkyl; E of PTM-III is selected from N, S, O, SO or SO₂,         with the proviso that E may not be N if the following three         conditions are simultaneously met: Q_(a) is absent, Q_(b) is         absent, and R³ is an amino group or cyclic amino radical wherein         the point of attachment to E is N;     -   Q_(a) of PTM-III is selected from being absent, —CH₂—, —CH₂CH₂—,         or C(O);     -   Q_(b) of PTM-III is selected from being absent, —NH—, —CH₂—,         —CH₂CH₂—, or C(O), with the proviso that Q_(b) may not be C(O)         if Q_(a) is C(O), and further provided that Q_(b) may not be         —NH— if E is N and Q_(a) is absent, further provided that Q_(b)         may not be —NH— if R³ is an amino group or cyclic amino radical         wherein the point of attachment to Q_(b) is N;     -   R³ of PTM-III is selected from hydrogen, phenyl,         hydroxyalkylamino (including 2-hydroxy ethylamino),         (hydroxyalkyl)₂amino, hydroxyalkyl(alkyl)amino (including         1-hydroxyeth-2-yl(methyl)amino), alkylamino (including         methylamino), aminoalkyl (including 2-amino isopropyl),         dihydroxyalkyl (including 1,3-dihydroxy isopropyl, 1,2-dihydroxy         ethyl), alkoxy (including methoxy), dialkylamino (including         dimethylamino), hydroxyalkyl (including 1-hydroxy eth-2-yl),         —COOH, —CONH₂, —CN, —SO₂-alkyl-R⁴ (including —SO₂CH₃), —NH₂, or         a 5 or six membered ring which contains at least one heteroatom         N and may optionally contain an additional heteromoiety selected         from S, SO₂, N, and O, and the 5 or 6 membered ring may be         saturated, partially unsaturated or aromatic (including         piperidinyl, morpholinyl, imidazolyl, and pyridyl) wherein         aromatic nitrogen in the 5 or 6 membered ring may be present as         N-oxide (including pyridyl N-oxide), and the 5 or 6 membered         ring may be optionally substituted with methyl, halogen,         alkylamino, or alkoxy (including 1 methyl imidazolyl); R³ may         also be absent, with the proviso that R³ is not absent when E is         nitrogen;     -   R⁴ of PTM-III is selected from hydrogen, —OH, alkoxy, carboxy,         carboxamido, or carbamoyl; and     -   the PTM-III is covalently joined to a ULM, a chemical linker         group (L), a CLM, an ILM, a VLM, MLM, a ULM′, a CLM′, a ILM′, a         VLM′, a MLM′, or combination thereof.

In any aspect or embodiment described herein, the PTM is represented by Formula PTM-IV:

wherein:

-   -   W of PTM-IV is C, N, O;     -   X of PTM-IV can be C, N, absent;     -   Y of PTM-IV can be C;     -   Z of PTM-IV can be C, N;     -   and R groups can be substituted variants of:     -   R¹ of PTM-IV can be H, alkoxy, hydroxyl, heterocyclic         alkyl/aryl;     -   R² of PTM-IV can be H, F, alkoxy, heterocyclic alkyl/aryl;     -   R³ of PTM-IV can be H, O, aryl, heteroaryl, C(O)heteroaryl;     -   R⁴ of PTM-IV can be H, alkyl, aryl, heteroaryl, CH-heteoaryl,         absent;     -   R⁵ of PTM-IV can be H, aryl, heteroalkyl/aryl, absent;     -   the dashed lines between WX, WY, YZ, YR³, and ZR⁴ of PTM-IV         indicating an optionally double bond, wherein the aryl,         heteroaryl, heterocyclic alkyl/aryl are optionally substituted;         and     -   the PTM-IV is covalently joined to a ULM, a chemical linker         group (L), a CLM, an ILM, a VLM, MLM, a ULM′, a CLM′, a ILM′, a         VLM′, a MLM′, or combination thereof.

In any aspect or embodiment described herein, the PTM is represented by Formula PTM-V:

wherein:

-   -   X₁ of PTM-V is N or CR², X₂ is N or CR⁶, Y₁ is N or CR⁴, and Y₂         is N or CR⁵, provided, however, that not more than one of X₂, Y₁         and Y₂ is N;     -   L¹ of PTM-V is selected from the group consisting of optionally         substituted lower alkylene, —S—, —O—, —C(O)—, —C(S)—, —S(O)—,         —S(O)₂—, and —NR⁷—;     -   L² of PTM-V is selected from the group consisting of a bond,         optionally substituted lower alkylene, -(alk)_(a)-S -(alk)_(b)-,         -(alk)_(a)-O-(alk)_(b)-, -(alk)_(a)-OC(O)-(alk)_(b)-,         -(alk)_(a)-C(O)O-(alk)_(b)-, -(alk)_(a)-OC(S)-(alk)_(b)-,         -(alk)_(a)-C(S)O-(alk)_(b)-, -(alk)_(a)-C(O)-(alk)_(b)-,         -(alk)_(a)-C(S)-(alk)_(b)-, -(alk)_(a)-C(O)NR⁹-(alk)_(b)-,         -(alk)_(a)-OC(O)NR⁹-(alk)_(b)-, -(alk)_(a)-OC(S)NR⁹-(alk)_(b)-,         -(alk)_(a)-C(S)NR⁹-(alk)_(b)-, -(alk)_(a)-S(O)-(alk)_(b)-,         -(alk)_(a)-S(O)₂-(alk)_(b)-, -(alk)_(a)-S(O)₂NR⁹-(alk)_(b)-,         -(alk)_(a)-NR⁹-(alk)_(b)-, -(alk)_(a)-NR⁹C(O)-(alk)_(b)-,         -(alk)_(a)-NR⁹C(S)-(alk)_(b)-, (alk)_(a)-NR⁹C(O)NR⁹-(alk)_(b)-,         -(alk)_(a)-NR⁹C(S)NR⁹-(alk)_(b)-,         -(alk)_(a)-NR⁹C(O)O-(alk)_(b)-, -(alk)_(a)-NR⁹C(S)O-(alk)_(b)-,         -(alk)_(a)-NR⁹S(O)₂-(alk)_(b)-, and         -(alk)_(a)-NR⁹S(O)₂NR⁹-(alk)_(b)-, wherein alk is optionally         substituted C₁₋₃ alkylene and a and b are independently 0 or 1;     -   R¹ of PTM-V is selected from the group consisting of optionally         substituted lower alkyl, optionally substituted cycloalkyl,         optionally substituted heterocycloalkyl, optionally substituted         aryl, and optionally substituted heteroaryl;     -   R², R⁴, R⁵ and R⁶ of PTM-V are independently selected from the         group consisting of hydrogen, halogen, optionally substituted         lower alkyl, optionally substituted lower alkenyl, optionally         substituted lower alkynyl, optionally substituted cycloalkyl,         optionally substituted heterocycloalkyl, optionally substituted         aryl, optionally substituted heteroaryl, —OH, —NH₂, —NO₂, —CN,         —C(O)OH, —C(S)OH, —C(O)NH₂, —C(S)NH₂, —S(O)₂NH₂, —NHC(O)NH₂,         —NHC(S)NH₂, —NHS(O)₂NH₂, —NR¹⁰R¹¹, —NHR³, —OR³, —SR³, —C(O)R³,         —C(S)R³, —S(O)R³, —S(O)₂R³, —C(O)OR³, —C(S)OR³, C(O)NHR³,         —C(O)NR³R³, —C(S)NHR³, —C(S)NR³R³, —S(O)₂NHR³, —S(O)₂NR³R³,         —NHC(O)R³, —NR³C(O)R³, —NHC(S)R³, —NR³C(S)R³, —NHS(O)₂R³,         —NR³S(O)₂R³, —NHC(O)OR³, —NR³C(O)OH, —NR³C(O)OR³, —NHC(S)OR³,         —NR³C(S)OH, —NR³C(S)OR³, —NHC(O)NHR³, —NHC(O)NR³R³, —NR³C(O)NH₂,         —NR³C(O)NHR³, —NR³C(O)NR³R³, —NHC(S)NHR³, —NHC(S)NR³R³,         —NR³C(S)NH₂, —NR³C(S)NHR³, —NR³C(S)NR³R³, —NHS(O)₂NHR³,         —NHS(O)₂NR³R³, NR³S(O)₂NH₂, —NR³S(O)₂NHR³, and —NR³S(O)₂NR³R³;     -   Ar₁ of PTM-V is a 5 or 6 membered optionally substituted         heteroarylene having the structure

wherein

indicates the point of attachment of L¹ and

indicates the point of attachment of L², and wherein the indicated N is either ═N— or —N═;

-   -   n of PTM-V is 0 or 1;     -   F and J of PTM-V are both C or one of F and J is C and the other         of F and J is N;     -   P and Q of PTM-V are independently selected from CR, N, NR, O or         S;     -   T of PTM-V is selected from CR or N;     -   wherein:         -   when n is 1, F and J are C, and P, T and Q are CR, or any             one of P, T and Q is N and the other two of P, T and Q are             CR,         -   when n is 0 and F and J are both C, then one of P and Q are             CR, N or NR and the other of P and Q is C, N, NR, O or S,             provided both P and Q are not CR,         -   when n is 0, one of F and J is N and the other of F and J is             C, then one of P and Q is N and the other of P and Q is CR             or both P and Q are CR, and     -   R of PTM-V is hydrogen or an optional substituent as defined         herein for optionally substituted heteroarylene that provides a         stable compound;     -   R³ of PTM-V at each occurrence is independently selected from         the group consisting of optionally substituted lower alkyl,         optionally substituted lower alkenyl, provided, however, that no         alkene carbon thereof is bound to any —C(O)—, —C(S)—, —S(O)—,         —S(O)₂, —O—, —S—, or —N— of any of —OR³, —SR³, —C(O)R³, —C(S)R³,         —S(O)R³, —S(O)₂R³, —C(O)OR³, —C(S)OR³, —C(O)NHR³, —C(O)NR³R³,         —C(S)NHR³, —C(S)NR³R³, —S(O)₂NHR³, —S(O)₂NR³R³, —NHR³,         —NHC(O)R³, —NR³C(O)R³, —NHC(S)R³, —NR³C(S)R³, —NHS(O)₂R³,         —NR³S(O)₂R³, —NHC(O)OR³, —NR³C(O)OH, —NR³C(O)OR³, —NHC(S)OR³,         —NR³C(S)OH, —NR³C(S)OR³, —NHC(O)NHR³, —NHC(O)NR³R³, —NR³C(O)NH₂,         —NR³C(O)NHR³, —NR³C(O)NR³R³, —NHC(S)NHR³, —NHC(S)NR³R³,         —NR³C(S)NH₂, —NR³C(S)NHR³, —NR³C(S)NR³R³, —NHS(O)₂NHR³,         —NHS(O)₂NR³R³, —NR³S(O)₂NH₂, —NR³S(O)₂NHR³, or —NR³S(O)₂NR³R³,         optionally substituted lower alkynyl, provided, however, that no         alkyne carbon thereof is bound to any —C(O)—, —C(S)—, —S(O)—,         —S(O)₂—, —O—, —S—, or —N— of any of —OR³, —SR³, —C(O)R³,         —C(S)R³, —S(O)R³, —S(O)₂R³, —C(O)OR³, —C(S)OR³, —C(O)NHR³,         —C(O)NR³R³, —C(S)NHR³, —C(S)NR³R³, —S(O)₂NHR³, —S(O)₂NR³R³,         —NHR³, —NHC(O)R³, —NR³C(O)R³, —NHC(S)R³, —NR³C(S)R³, —NHS(O)₂R³,         —NR³S(O)₂R³, —NHC(O)OR³, —NR³C(O)OH, —NR³C(O)OR³, —NHC(S)OR³,         —NR³C(S)OH, —NR³C(S)OR³, —NHC(O)NHR³, —NHC(O)NR³R³, —NR³C(O)NH₂,         —NR³C(O)NHR³, —NR³C(O)NR³R³, —NHC(S)NHR³, —NHC(S)NR³R³,         —NR³C(S)NH₂, —NR³C(S)NHR³, —NR³C(S)NR³R³, —NHS(O)₂NHR³,         —NHS(O)₂NR³R³, —NR³S(O)₂NH₂, —NR³S(O)₂NHR³, or —NR³S(O)₂NR³R³,         optionally substituted cycloalkyl, optionally substituted         heterocycloalkyl, optionally substituted aryl, and optionally         substituted heteroaryl;     -   R⁷ of PTM-V is selected from the group consisting of hydrogen,         optionally substituted lower alkyl, optionally substituted         cycloalkyl, optionally substituted heterocycloalkyl, optionally         substituted aryl, optionally substituted heteroaryl, —C(O)R⁸,         and —S(O)₂R⁸;     -   R⁸ of PTM-V is selected from the group consisting of optionally         substituted lower alkyl, optionally substituted cycloalkyl,         optionally substituted heterocycloalkyl, optionally substituted         aryl and optionally substituted heteroaryl;     -   R⁹ of PTM-V at each occurrence is independently selected from         the group consisting of hydrogen, lower alkyl, and lower alkyl         substituted with one or more substituents selected from the         group consisting of fluoro, —OH, —NH₂, lower alkoxy, fluoro         substituted lower alkoxy, lower alkylthio, fluoro substituted         lower alkylthio, mono-alkylamino, fluoro substituted         mono-alkylamino, di-alkylamino, fluoro substituted         di-alkylamino, and —NR¹²R¹³, provided, however, that when R⁹ is         substituted lower alkyl, any substitution on the alkyl carbon         bound to the —N— of NR⁹— is fluoro;     -   R¹⁰ and R¹¹ of PTM-V at each occurrence are independently         selected from the group consisting of optionally substituted         lower alkyl, optionally substituted lower alkenyl, provided,         however, that no alkene carbon thereof is bound to the nitrogen         of NR¹⁰R¹¹ optionally substituted lower alkynyl, provided,         however, that no alkyne carbon thereof is bound to the nitrogen         of —NR¹⁰R¹¹, optionally substituted cycloalkyl, optionally         substituted heterocycloalkyl, optionally substituted aryl, and         optionally substituted heteroaryl; or     -   R¹⁰ and R¹¹ of PTM-V together with the nitrogen to which they         are attached form a monocyclic 5-7 membered optionally         substituted heterocycloalkyl or a monocyclic 5 or 7 membered         optionally substituted nitrogen containing heteroaryl;     -   R¹² and R¹³ of PTM-V combine with the nitrogen to which they are         attached to form a 5-7 membered heterocycloalkyl or 5-7 membered         heterocycloalkyl substituted with one or more substituents         selected from the group consisting of fluoro, —OH, —NH₂, lower         alkyl, fluoro substituted lower alkyl, lower alkoxy, fluoro         substituted lower alkoxy, lower alkylthio, and fluoro         substituted lower alkylthio; and     -   the PTM-V is covalently joined to a ULM, a chemical linker group         (L), a CLM, an ILM, a

VLM, MLM, a ULM′, a CLM′, a ILM′, a VLM′, a MLM′, or combination thereof.

In any aspect or embodiment described herein, the PTM is represented by Formula PTM-VI:

wherein:

-   -   Ar of PTM-VI is selected from the group consisting of optionally         substituted or unsubstituted aryl, and optionally substituted or         unsubstituted heteroaryl, when substituted, the substituents         could be one or more groups independently selected from halogen,         alkyl, haloalkyl, or hydroxyl alkyl;     -   L of PTM-VI is H, optionally substituted or unsubstituted alkyl,         optionally substituted or unsubstituted cycloalkyl, optionally         substituted or unsubstituted cycloalkylalkyl, optionally         substituted or unsubstituted aryl, optionally substituted or         unsubstituted arylalkyl, optionally substituted or unsubstituted         sulfonamido, optionally substituted or unsubstituted         heterocycloalkyl, optionally substituted or unsubstituted         heterocycloalkylalkyl, optionally substituted or unsubstituted         heteroaryl or optionally substituted or unsubstituted         heteroarylalkyl; when substituted, the substituents can be one         or more groups independently selected from the group consisting         of halo, alkyl, haloalkyl, cycloalkyl, cycloalkylalkyl,         heterocycloalkyl, heterocycloalkylalkyl, amino, aminoalkyl,         amido, aminocarbonyl, sulfonamido, ureido, cyano, acetyl, acyl,         carboxylic acid, hydroxyl, hydroxylalkyl, alkoxyl,         —NHalkylhydroxyl, —NHalkoxyalkyl, —NHalkylamino, —NHcycloalkyl,         —NHcycloalkylalkyl, —N Hheterocycloalkyl, —NH         heterocycloalkylalkyl, —NHaryl, —NHarylalkyl, —NHheteroaryl, or         —NHheteroarylalkyl;     -   Y of PTM-VI is O, S, NR₂R_(2′), or a direct bond (that means L         directly connected with the left heteroaryl);     -   X₁, X₂, X₃ and X₄ of PTM-VI are independently N or CR₁,     -   R₁ of PTM-VI is H, or —Y-L;     -   R, R₂ and R₂′ of PTM-VI are each independently selected from the         group consisting of hydrogen, alkyl, cycloalkyl, aryl,         heteroaryl, haloalkoxyl, hydroxyl, amino, aminocarbonyl,         sulfonamido, cyano, alkynyl, alkoxyl, aryloxyl, carboxylic acid,         carboxylic ester or halogen, or R₂, R₂′ together with the         nitrogen atom to which they are attached, form a 3- to         7-membered heterocycloalkyl ring, and the hetero atom could be         selected from at least one of 0, S or N atoms. The 3- to         7-membered heterocycloalkyl ring could be further optionally         substituted with a group independently selected from alkyl,         cycloalkyl, methylsulfonyl, ureido, acyl, amido, aminocarbonyl,         alkylamino, alkylhydroxyl, heterocycloalkyl, aryl, or         heteroaryl. Preferably R₂, R₂′ and the N could be formed a         heterocycle such as

and

-   -   R₇ of PTM-VI is independently selected from H, methylsulfonyl,         lower alkyl, that is C₁-C₆ straight chain and branched chain         alkyl, such as methyl, ethyl, propyl, 2-propyl, n-butyl,         iso-butyl, tert-butyl, pentyl, neopentyl, hexyl, isohexyl; and     -   the PTM-VI is covalently joined to a ULM, a chemical linker         group (L), a CLM, an ILM, a VLM, MLM, a ULM′, a CLM′, a ILM′, a         VLM′, a MLM′, or combination thereof.

In any aspect or embodiment described herein, the PTM is represented by Formula PTM-VII:

wherein:

-   -   L of PTM-VII is a bond, substituted or unsubstituted alkylene,         or substituted or unsubstituted heteroalkylene;     -   R¹ of PTM-VII is hydrogen, halogen, —CF₃, —CCl₃, —CBr₃, —CI₃,         —OCF₃, —OCCl₃, —OCBr₃, —OCl₃, —CN, —OH, —NH₂, —COOH, —C(O)OR₄,         —CONH₂, —NO₂, —SH, —NHNH₂, —NR²R³, —OR⁴, —SR⁴, substituted or         unsubstituted alkyl, substituted or unsubstituted heteroalkyl,         substituted or unsubstituted cycloalkyl, substituted or         unsubstituted heterocycloalkyl, substituted or unsubstituted         aryl or substituted or unsubstituted heteroaryl. R² and R³ are         independently substituted or unsubstituted alkyl, substituted or         unsubstituted heteroalkyl, substituted or unsubstituted         cycloalkyl, substituted or unsubstituted heterocycloalkyl,         substituted or unsubstituted aryl, substituted or unsubstituted         heteroaryl;     -   R₂ and R₃ of PTM-VII are optionally joined together to form a         substituted or unsubstituted heterocycloalkyl or substituted or         unsubstituted heteroaryl. R⁴ of PTM-VII is substituted or         unsubstituted alkyl, substituted or unsubstituted heteroalkyl,         substituted or unsubstituted cycloalkyl, substituted or         unsubstituted heterocycloalkyl, substituted or unsubstituted         aryl or substituted or unsubstituted heteroaryl;     -   R₅ and R₆ of PTM-VII are independently hydrogen, halogen, —CF₃,         —CCl₃, —CBr₃, —CI₃, —OCF₃, —OCCl₃, —OCBr₃, —OCl₃, —CN, —OH,         —NH₂, —COOH, —C(O)OR₉, —CONH₂, —NO₂, —SH, —NHNH₂, —NR⁷R⁸, —OR⁹,         —SR⁹, substituted or unsubstituted alkyl, substituted or         unsubstituted heteroalkyl, substituted or unsubstituted         cycloalkyl, substituted or unsubstituted heterocycloalkyl,         substituted or unsubstituted aryl or substituted or         unsubstituted heteroaryl;     -   R⁷ and R⁸ of PTM-VII are independently substituted or         unsubstituted alkyl, substituted or unsubstituted heteroalkyl,         substituted or unsubstituted cycloalkyl, substituted or         unsubstituted heterocycloalkyl, substituted or unsubstituted         aryl or substituted or unsubstituted heteroaryl, or R⁷ and R⁸         are optionally joined together to form a substituted or         unsubstituted heterocycloalkyl or substituted or unsubstituted         heteroaryl;     -   R⁹ of PTM-VII is substituted or unsubstituted alkyl, substituted         or unsubstituted heteroalkyl, substituted or unsubstituted         cycloalkyl, substituted or unsubstituted heterocycloalkyl,         substituted or unsubstituted aryl or substituted or         unsubstituted heteroaryl; and     -   the PTM-VII is covalently joined to a ULM, a chemical linker         group (L), a CLM, an ILM, a VLM, MLM, a ULM′, a CLM′, a ILM′, a         VLM′, a MLM′, or combination thereof.

In any aspect or embodiment described herein, the PTM is represented by Formula PTM-VIII:

wherein:

-   -   R¹ of PTM-VIII is a hydrogen atom or a substituted or         unsubstituted C₁₋₆ alkyl group;     -   R² of PTM-VIII is a hydrogen atom, a substituted or         unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted         C₂₋₆ alkenyl group, or a substituted or unsubstituted C₂₋₆         alkynyl group;     -   R³ of PTM-VIII is a hydrogen atom, a substituted or         unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted         C₂₋₆ alkenyl group, or a substituted or unsubstituted C₂₋₆         alkynyl group;     -   or R² and R³ of PTM-VIII may bind together to form an atomic         bond;     -   R⁴ of PTM-VIII is a hydrogen atom, a substituted or         unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted         C₂₋₆ alkenyl group, a substituted or unsubstituted C₂₋₆ alkynyl         group, a substituted or unsubstituted C₃₋₈ cycloalkyl group, or         an imino protecting group;     -   m of R⁵ of PTM-VIII are the same or different, and is a hydrogen         atom or a substituted or unsubstituted C₁₋₆ alkyl group;     -   m of R⁶ of PTM-VIII are the same or different, and is a hydrogen         atom or a substituted or unsubstituted C₁₋₆ alkyl group;     -   or R⁵ and R⁶ of PTM-VIII binding to the same carbon atom may         bind together to form: a substituted or unsubstituted C₂₋₆         alkylene group; an substituted or unsubstituted O—(C₁₋₆         alkylene) group, a substitute or unsubstituted N(R¹³)—(C₁₋₆         alkylene) group, wherein R¹³ is a hydrogen atom, a substituted         or unsubstituted C₁₋₆ alkyl group or an imino protecting group;         a substituted or unsubstituted (C₁₋₃ alkylene)-O—(C₁₋₃ alkylene)         group; a substitute or unsubstituted (C₁₋₃         alkylene)-N(R¹³)—(C₁₋₃ alkylene) group, wherein R¹³ is a         hydrogen atom, a substituted or unsubstituted C₁₋₆ alkyl group         or an imino protecting group;     -   n of R⁷ of PTM-VIII are the same or different, and is a hydrogen         atom or a substitute or unsubstituted C₁₋₆ alkyl group;     -   n of R⁸ of PTM-VIII are the same or different, and is a hydrogen         atom or a substitute or unsubstituted C₁₋₆ alkyl group;     -   or R⁷ and R⁸ of PTM-VIII binding to the same carbon atom may         bind together to form: a substituted or unsubstituted C₂₋₆         alkylene group; an substituted or unsubstituted O—(C₁₋₆         alkylene) group; a substituted or unsubstituted N(R¹⁴)—(C₁₋₆         alkylene) group, wherein R¹⁴ is a hydrogen atom, a substituted         or unsubstituted C₁₋₆ alkyl group, or an imino protecting group;         a substituted or unsubstituted (C₁₋₃ alkylene)-O—(C₁₋₃ alkylene)         group; or a substituted or unsubstituted (C₁₋₃         alkylene)-N(R¹⁴)—(C₁₋₃ alkylene) group which may be substituted,         wherein R¹⁴ is a hydrogen atom, a substituted or unsubstituted         C₁₋₆ alkyl group, or an imino protecting group;     -   R⁹ of PTM-VIII is: a substituted or unsubstituted C₁₋₆ alkyl         group; a substituted or unsubstituted C₃₋₈ cycloalkyl; a         substituted or unsubstituted aryl group; a substituted or         unsubstituted C₁₋₆ alkoxy group; a substituted or unsubstituted         heterocyclic group; N(R¹⁵)(R¹⁶) wherein R¹⁵ is a hydrogen atom,         a substituted or unsubstituted C₁₋₆ alkyl group, a substituted         or unsubstituted C₂₋₆ alkenyl group, a substituted or         unsubstituted C₂₋₆ alkynyl group, or a substituted or         unsubstituted C₃₋₈ cycloalkyl group, and R¹⁶ is a substituted or         unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted         C₂₋₆ alkenyl group, a substituted or unsubstituted C₂₋₆ alkynyl         group, a substituted or unsubstituted C₃₋₈ cycloalkyl group, a         substituted or unsubstituted aryl group, or a substituted or         unsubstituted heterocyclic group, or R¹⁵ and R¹⁶ may form a         substituted or unsubstituted cyclic amino group together with         the nitrogen atom to which they bind;     -   R¹⁰ of PTM-VIII is a hydrogen atom, a halogen atom, a         substituted or unsubstituted C₁₋₆ alkyl group, a substituted or         unsubstituted C₃₋₈ cycloalkyl group, a substituted or         unsubstituted aryl group, a substituted or unsubstituted C₁₋₆         alkoxy group, or a substituted or unsubstituted heterocyclic         group;     -   R¹¹ of PTM-VIII is a hydrogen atom, a substituted or         unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted         C₂₋₆ alkenyl group, a substituted or unsubstituted C₂₋₆ alkynyl         group, or a substituted or unsubstituted C₃₋₈ cycloalkyl group;     -   R¹² of PTM-VIII is a substituted or unsubstituted C₁₋₆ alkyl         group, a substituted or unsubstituted C₂₋₆ alkenyl group, a         substituted or unsubstituted C₂₋₆ alkynyl group, a substituted         or unsubstituted C₃₋₈ cycloalkyl group, a substituted or         unsubstituted aryl group, a substituted or unsubstituted         heterocyclic group, or a substituted or unsubstituted carbamoyl         group;     -   X¹ of PTM-VIII represents a group represented by —X⁴—X⁵—,         wherein:         -   X⁴ is a substituted or unsubstituted divalent alicyclic             hydrocarbon, a substituted or unsubstituted divalent             aromatic hydrocarbon group, a substituted or unsubstituted             divalent heterocyclic group, or a group represented by

wherein p of R¹⁷ are the same or different, and is a hydrogen atom or a substituted or unsubstituted C₁₋₆ alkyl group, or one R¹⁷ selected from p of R¹⁷ may bind with R⁴ to form: a substituted or unsubstituted C₁₋₆ alkylene group: a substituted or unsubstituted (C₁₋₃ alkylene)-O group: a substituted or unsubstituted (C₁₋₃ alkylene)-N(R¹⁹) group, wherein R¹⁹ is a hydrogen atom, substituted or unsubstituted a C₁₋₆ alkyl group, or an imino protecting group; a substituted or unsubstituted (C₁₋₃ alkylene)-O—(C₁₋₃ alkylene) group; a substituted or unsubstituted (C₁₋₃ alkylene)-N(R¹⁹)—(C₁₋₃ alkylene) group, wherein R¹⁹ is a hydrogen atom, substituted or unsubstituted a C₁₋₆ alkyl group, or an imino protecting group; p of R¹⁸ are the same or different, and is a hydrogen atom or a substituted or unsubstituted C₁₋₆ alkyl group; or R¹⁷ and R¹⁸ binding to the same carbon atom may bind together to form: a substituted or unsubstituted C₂₋₆ alkylene group, a substituted or unsubstituted O—(C₁₋₆ alkylene); a substituted or unsubstituted N(R²⁰)—(C₁₋₆ alkylene) group, wherein R²⁰ is a hydrogen atom; a substituted or unsubstituted C₁₋₆ alkyl group or an imino protecting group; a substituted or unsubstituted (C₁₋₃ alkylene)-O—(C₁₋₃ alkylene) group; a substituted or unsubstituted (C₁₋₃ alkylene)-N(R²⁰)—(C₁₋₃ alkylene), wherein R²⁰ is a hydrogen atom; a substituted or unsubstituted C₁₋₆ alkyl group or an imino protecting group; and p represents an integer of 1 to 6; or an atomic bond; and

-   -   X⁵ is an oxygen atom, N(R²¹) wherein R²¹ is a hydrogen atom, a         substituted or unsubstituted C₁₋₆ alkyl group, a substituted or         unsubstituted C₂₋₆ alkenyl group, a substituted or unsubstitute         C₂₋₆ alkynyl group or an imino protecting group, or R²¹ may bind         with R⁴ to form a substitute or unsubstituted C₁₋₆ alkylene         group; C(═O); C(═O)—N(R²¹) wherein R²¹ is a hydrogen atom, a         substituted or unsubstituted C₁₋₆ alkyl group, a substituted or         unsubstituted C₂₋₆ alkenyl group, a substituted or unsubstitute         C₂₋₆ alkynyl group or an imino protecting group; or an atomic         bond;     -   X² of PTM-VIII is a substituted or unsubstituted C₁₋₆ alkylene         group, a substituted or unsubstituted divalent alicyclic         hydrocarbon group, a substituted or unsubstituted divalent         aromatic hydrocarbon, or a substituted or unsubstituted divalent         heterocyclic group;     -   X³ of PTM-VIII is a substituted or unsubstituted C₁₋₆ alkylene         group, a substituted or unsubstituted C₂₋₆ alkenylene group, a         substituted or unsubstituted C₂₋₆ alkynylene group, a         substituted or unsubstituted O—(C₁₋₆ alkylene) group, a         substituted or unsubstituted S(O)_(q)—(C₁₋₆alkylene) group         wherein q represents 0, 1 or 2; a substituted or unsubstituted         N(R²²)—(C₁₋₆ alkylene) group wherein R²² is a hydrogen atom, a         substituted or unsubstitute C₁₋₆ alkyl group, a substituted or         unsubstituted C₂₋₆ alkenyl group, a substitute or unsubstituted         C₂₋₆ alkynyl group or an imino protecting group; N(R²²)—C(═O)         wherein R²² is a hydrogen atom, a substituted or unsubstitute         C₁₋₆ alkyl group, a substituted or unsubstituted C₂₋₆ alkenyl         group, a substitute or unsubstituted C₂₋₆ alkynyl group or an         imino protecting group; or an atomic bond;     -   Z¹ of PTM-VIII is a nitrogen atom or C(R²³) wherein R²³ is a         hydrogen atom, a halogen atom, a substituted or unsubstituted         C₁₋₆ alkyl group, a substituted or unsubstituted C₃₋₈ cycloalkyl         group, a substituted or unsubstituted aryl group, a substituted         or unsubstituted C₁₋₆ alkoxy group or substituted or         unsubstituted a heterocyclic group;     -   m of PTM-VIII is an integer of 0, 1, 2, 3, 4, 5, or 6;     -   n of PTM-VIII is an integer of 0, 1, 2, 3, 4, 5, or 6); and     -   the PTM-VIII is covalently joined to a ULM, a chemical linker         group (L), a CLM, an ILM, a

VLM, MLM, a ULM′, a CLM′, a ILM′, a VLM′, a MLM′, or combination thereof.

In any aspect or embodiment described herein, the PTM is represented by Formula PTM-IX:

wherein:

-   -   W of PTM-IX is an aryl, 5-membered heteroaryl, or 6-membered         heteroaryl ring, each optionally substituted with one or more         R_(PTM1) groups;     -   X of PTM-IX is independently selected from C—R_(PTM1) or N;     -   Y and Z of PTM-IX are independently selected from a bond or CH₂;     -   m and n of PTM-IX are each independently 1 or 2;     -   R_(PTM1) of PTM-IX is H, halogen, C₁₋₅alkyl, CN, C(O)—C₁₋₅alkyl,         C(O)O—C₁₋₅alkyl, OH, or O—C₁₋₅alkyl (e.g., selected from the         group consisting of H, halogen, C₁₋₅alkyl, CN, OH, or         O—C₁₋₅alkyl);     -   of PTM-IX indicates either a single or double bond;     -   each R of PTM-IX is independently selected from H, halogen,         C₁₋₅alkyl, CN, C(O)—C₁₋₅alkyl, C(O)O—C₁₋₅alkyl, OH, or         O—C₁₋₅alkyl, each optionally substituted (e.g., optionally         substituted with a cycloalkyl, heterocycle, or aminoalkyl); and     -   of PTM-IX indicates a covalent linkage, optionally through an         atom or functional group, to at least one of a linker (L), a         ULM, a ULM′, a VLM, a VLM′, a CLM, a CLM′, an ILM, an ILM′, a         MLM, a MLM′, or a combination thereof.

In any aspect or embodiment described herein, the PTM-IX comprises at least one of the following:

-   -   W of PTM-IX is phenyl or furan, each optionally substituted with         one or more R_(PTM1) groups;     -   X of PTM-IX is CH;     -   Y of PTM-IX is CH₂;     -   Z of PTM-IX is CH₂;     -   m and n of PTM-IX are each 1;     -   R of PTM-IX is H; or     -   a combination thereof.

In any aspect or embodiment described herein, the PTM is selected from:

wherein R is 5-(4-methyl-1H-imidazol-1-yl) or 4-(N-(4-ethylpiperazin-1-yl)methyl).

In any aspect or embodiment described herein, the ULM is a Von Hippel-Lindau (VHL) ligase-binding moiety (VLM) with a chemical structure represented by:

wherein:

-   -   X¹, X² are each independently selected from the group of a bond,         O, NR^(Y3), CR^(Y3)R^(Y4), C═O, C═S, SO, and SO₂;     -   R^(Y3), R^(Y4) are each independently selected from the group of         H, linear or branched C₁₋₆ alkyl, optionally substituted by 1 or         more halo, C₁₋₆ alkoxyl optionally substituted by 0-3 R^(P)         groups;     -   R^(P) is 0, 1, 2, or 3 groups independently selected from the         group H, halo, —OH, C₁₋₃ alkyl, C═O;     -   W³ is selected from the group of an optionally substituted         -T-N(R^(1a)R^(1b))X³, T-N(R^(1a)R^(1b)), -T-Aryl, an optionally         substituted -T-Heteroaryl, an optionally substituted         -T-Heterocycle, an optionally substituted —NR¹-T-Aryl, an         optionally substituted —NR¹-T-Heteroaryl or an optionally         substituted —NR¹-T-Heterocycle;     -   X³ is C═O, R¹, R^(1a); R^(1b);     -   each of R¹, R^(1a), R^(1b) is independently selected from the         group consisting of H, linear or branched C₁-C₆ alkyl group         optionally substituted by 1 or more halo or —OH groups,         R^(Y3)C═O, R^(Y3)C═S, R^(Y3)SO, R^(Y3)SO₂, N(R^(Y3)R^(Y4))C═O,         N(R^(Y3)R^(Y4))C═S, N(R^(Y3)R^(Y4))SO, and N(R^(Y3)R^(Y4))SO₂;     -   T is selected from the group of an optionally substituted alkyl,         —(CH₂)_(n)— group, wherein each one of the methylene groups is         optionally substituted with one or two substituents selected         from the group of halogen, methyl, a linear or branched C₁-C₆         alkyl group optionally substituted by 1 or more halogen or —OH         groups or an amino acid side chain optionally substituted;     -   n is 0 to 6;

W⁴ is

-   -   R_(14a), R_(14b), are each independently selected from the group         of H, haloalkyl, or optionally substituted alkyl;     -   W⁵ is selected from the group of a phenyl or a 5-10 membered         heteroaryl;     -   R₁₅ is selected from the group of H, halogen, CN, OH, NO₂, N         R_(14a)R_(14b), OR_(14a), CONR_(14a)R_(14b), NR_(14a)COR_(14b),         SO₂NR_(14a)R_(14b), NR_(14a) SO₂R_(14b), optionally substituted         alkyl, optionally substituted haloalkyl, optionally substituted         haloalkoxy; aryl, heteroaryl, cycloalkyl, or cycloheteroalkyl,         each optionally substituted;     -   and wherein the dashed line indicates the site of attachment of         at least one PTM, another ULM (ULM′) or a chemical linker moiety         coupling at least one PTM or a ULM′ or both to ULM.

In any aspect or embodiment described herein, the ULM is a Von Hippel-Lindau (VHL) ligase-binding moiety (VLM) with a chemical structure represented by:

wherein:

-   -   W³ is selected from the group of an optionally substituted aryl,         optionally substituted heteroaryl, or

-   -   R₉ and R₁₀ are independently hydrogen, optionally substituted         alkyl, optionally substituted cycloalkyl, optionally substituted         hydroxyalkyl, optionally substituted heteroaryl, or haloalkyl,         or R₉, R₁₀, and the carbon atom to which they are attached form         an optionally substituted cycloalkyl;     -   R₁₁ is selected from the group of an optionally substituted         heterocyclic, optionally substituted alkoxy, optionally         substituted heteroaryl, optionally substituted aryl,

-   -   R₁₂ is selected from the group of H or optionally substituted         alkyl;     -   R₁₃ is selected from the group of H, optionally substituted         alkyl, optionally substituted alkylcarbonyl, optionally         substituted (cycloalkyl)alkylcarbonyl, optionally substituted         aralkylcarbonyl, optionally substituted arylcarbonyl, optionally         substituted (heterocyclyl)carbonyl, or optionally substituted         aralkyl;     -   R_(14a), R_(14b), are each independently selected from the group         of H, haloalkyl, or optionally substituted alkyl;     -   W⁵ is selected from the group of a phenyl or a 5-10 membered         heteroaryl,     -   R₁₅ is selected from the group of H, halogen, CN, OH, NO₂, N         R_(14a)R_(14b), OR_(14a), CONR_(14a)R_(14b), NR_(14a)COR_(14b),         SO₂NR_(14a)R_(14b), NR_(14a) SO₂R_(14b), optionally substituted         alkyl, optionally substituted haloalkyl, optionally substituted         haloalkoxy; aryl, heteroaryl, cycloalkyl, or cycloheteroalkyl,         each optionally substituted;     -   R₁₆ is independently selected from the group of halo, optionally         substituted alkyl, optionally substituted haloalkyl, hydroxy, or         optionally substituted haloalkoxy;     -   o is 0, 1, 2, 3, or 4;     -   R₁₈ is independently selected from the group of H, halo,         optionally substituted alkoxy, cyano, optionally substituted         alkyl, haloalkyl, haloalkoxy or a linker; and     -   p is 0, 1, 2, 3, or 4, and wherein the dashed line indicates the         site of attachment of at least one PTM, another ULM (ULM′) or a         chemical linker moiety coupling at least one PTM or a ULM′ or         both to ULM.

In any aspect or embodiment described herein, the ULM has a chemical structure selected from the group of:

wherein:

-   -   R₁ is H, ethyl, isopropyl, tert-butyl, sec-butyl, cyclopropyl,         cyclobutyl, cyclopentyl, or cyclohexyl; optionally substituted         alkyl, optionally substituted hydroxyalkyl, optionally         substituted heteroaryl, or haloalkyl;     -   R_(14a) is H, haloalkyl, optionally substituted alkyl, methyl,         fluoromethyl, hydroxymethyl, ethyl, isopropyl, or cyclopropyl;     -   R₁₅ is selected from the group consisting of H, halogen, CN, OH,         NO₂, optionally substituted heteroaryl, optionally substituted         aryl; optionally substituted alkyl, optionally substituted         haloalkyl, optionally substituted haloalkoxy, cycloalkyl, or         cycloheteroalkyl, each optionally substituted;     -   X is C, CH₂, or C═O;     -   R₃ is absent or an optionally substituted 5 or 6 membered         heteroaryl; and     -   wherein the dashed line indicates the site of attachment of at         least one PTM, another ULM (ULM′) or a chemical linker moiety         coupling at least one PTM or a ULM′ or both to the ULM.

The compound according to any one of claims 1-14, wherein the ULM comprises a group according to the chemical structure:

wherein:

-   -   R_(14a) is H, haloalkyl, optionally substituted alkyl, methyl,         fluoromethyl, hydroxymethyl, ethyl, isopropyl, or cyclopropyl;     -   R₉ is H;     -   R₁₀ is H, ethyl, isopropyl, tert-butyl, sec-butyl, cyclopropyl,         cyclobutyl, cyclopentyl, or cyclohexyl;     -   R₁₁ is

optionally substituted heteroaryl,

-   -   p is 0, 1, 2, 3, or 4; and     -   each R₁₈ is independently halo, optionally substituted alkoxy,         cyano, optionally substituted alkyl, haloalkyl, haloalkoxy or a         linker;     -   R₁₂ is H, C═O;     -   R₁₃ is H, optionally substituted alkyl, optionally substituted         alkylcarbonyl, optionally substituted (cycloalkyl)alkylcarbonyl,         optionally substituted aralkylcarbonyl, optionally substituted         arylcarbonyl, optionally substituted (heterocyclyl)carbonyl, or         optionally substituted aralkyl;     -   R₁₅ is selected from the group consisting of H, halogen, Cl, CN,         OH, NO₂, optionally substituted heteroaryl, optionally         substituted aryl;

-   -   and wherein the dashed line indicates the site of attachment of         at least one PTM, another ULM (ULM′) or a chemical linker moiety         coupling at least one PTM or a ULM′ or both to the ULM.

In any aspect or embodiment described herein, the ULM is a cereblon E3 ligase-binding moiety (CLM) selected from the group coinsisting of a thalidomide, lenalidomide, pomalidomide, analogs thereof, isosteres thereof, or derivatives thereof.

In any aspect or embodiment described herein, the CLM has a chemical structure represented by:

wherein:

-   -   W is selected from the group consisting of CH₂, CHR, C═O, SO₂,         NH, and N-alkyl;     -   each X is independently selected from the group consisting of O,         S, and H₂,     -   Y is selected from the group consisting of CH₂, —C═CR′, NH,         N-alkyl, N-aryl, N-hetaryl, N-cycloalkyl, N-heterocyclyl, O, and         S;     -   Z is selected from the group consisting of O, S, and H₂;     -   G and G′ are independently selected from the group consisting of         H, alkyl (linear, branched), OH, R′OCOOR, R′OCONRR″,         CH₂-heterocyclyl optionally substituted with R′, and benzyl         optionally substituted with R′;     -   Q₁, Q₂, Q₃, and Q₄ represent a carbon C substituted with a group         independently selected from R′, N or N-oxide;     -   A is independently selected from the group H, alkyl (linear,         branched, optionally substituted), cycloalkyl, Cl and F;     -   R comprises —CONR′R″, —OR′, —NR′R″, —SR′, —SO₂R′, —SO₂NR′R″,         —CR′R″—, —CR′NR′R″—, -aryl, -hetaryl, -alkyl, -cycloalkyl,         -heterocyclyl, —P(O)(OR′)R″, —P(O)R′R″, —OP(O)(OR′)R″,         —OP(O)R′R″, —Cl, —F, —Br, —I, —CF₃, —CN, —NR′SO₂NR′R″,         —NR′CONR′R″, —CONR′COR″, —NR′C(═N—CN)NR′R″, —C(═N—CN)NR′R″,         —NR′C(═N—CN)R″, —NR′C(═C—NO₂)NR′R″, —SO₂NR′COR″, —NO₂, —CO₂R′,         —C(C═N—OR′)R″, —CR′, CR′R″, —CCR′, —S(C═O)(C═N—R′)R″, —SF₅ and         —OCF₃;     -   R′ and R″ are independently selected from the group consisting         of a bond, H, alkyl, cycloalkyl, aryl, heteroaryl, heterocyclic,         —C(═O)R, heterocyclyl, each of which is optionally substituted;     -   represents a bond that may be stereospecific ((R) or (S)) or         non-stereospecific; and     -   R_(a) comprises a functional group or an atom,     -   wherein n is an integer from 1-10, and wherein     -   when n is 1, R_(n) is modified to be covalently joined to the         linker group (L), and     -   when n is 2, 3, or 4, then one R_(n) is modified to be         covalently joined to the linker group (L), and any other R_(n)         is optionally modified to be covalently joined to a PTM, a CLM,         a second CLM having the same chemical structure as the CLM, a         CLM′, a second linker, or any multiple or combination thereof.

In any aspect or embodiment described herein, the CLM has a chemical structure represented by:

wherein:

-   -   W is independently selected from the group CH2, C═O, NH, and         N-alkyl;     -   R is independently selected from a H, methyl, alkyl (e.g. a         C1-C6 alkyl (linear, branched, optionally substituted));     -   represents a bond that may be stereospecific ((R) or (S)) or         non-stereospecific; and     -   R_(n) comprises 1-4 independently selected functional groups or         atoms, and optionally, one of which is modified to be covalently         joined to a PTM, a chemical linker group (L), a CLM (or CLM′) or         combination thereof.

In any aspect or embodiment described herein, the ULM is a (MDM2) binding moiety (MLM) with a chemical moiety selected from the group consisting of a substituted imidazolines, a substituted spiro-indolinones, a substituted pyrrolidines, a substituted piperidinones, a substituted morpholinones, a substituted pyrrolopyrimidines, a substituted imidazolopyridines, a substituted thiazoloimidazoline, a substituted pyrrolopyrrolidinones, and a substituted isoquinolinones.

In any aspect or embodiment described herein, the ULM is a IAP E3 ubiquitin ligase binding moiety (ILM) comprising the amino acids alanine (A), valine (V), proline (P), and isoleucine (I) or their unnatural mimetics.

In any aspect or embodiment described herein, the ULM is a IAP E3 ubiquitin ligase binding moiety (ILM) comprising a AVPI tetrapeptide fragment or derivative thereof.

In any aspect or embodiment described herein, the linker (L) comprises a chemical structural unit represented by the formula:

-(A^(L))_(q)-,

wherein:

-   -   (A^(L))_(q) is a group that is connected to at least one of a         ULM moiety, a PTM moiety, or a combination thereof;     -   q is an integer greater than or equal to 1;     -   each A^(L) is independently selected from the group consisting         of, a bond, CR^(L1)R^(L2), O, S, SO, SO₂, NR^(L3), SO₂NR^(L3),         SONR^(L3), CONR^(L3), NR^(L3)CONR^(L3), NR^(L3)SO₂NR^(L4), CO,         CR^(L1)═CR^(L2), C≡C, SiR^(L1)R^(L2), P(O)R^(L1), P(O)OR^(L1),         NR^(L3)C(═NCN)NR^(L4), NR^(L3)C(═NCN), NR^(L3)C(═CNO₂)NR^(L4),         C₃₋₁₁cycloalkyl optionally substituted with 0-6 R^(L1) and/or         R^(L2) groups, C₃₋₁₁heterocyclyl optionally substituted with 0-6         R^(L1) and/or R^(L2) groups, aryl optionally substituted with         0-6 R^(L1) and/or R^(L2) groups, heteroaryl optionally         substituted with 0-6 R^(L1) and/or R^(L2) groups, where R^(L1)         or R^(L2), each independently are optionally linked to other         groups to form cycloalkyl and/or heterocyclyl moiety, optionally         substituted with 0-4 R^(L5) groups; and     -   R^(L1), R^(L2), R^(L3), R^(L4) and R^(L5) are, each         independently, H, halo, C₁₋₈alkyl, OC₁₋₈alkyl, SC₁₋₈alkyl,         NHC₁₋₈alkyl, N(C₁₋₈alkyl)₂, C₃₋₁₁cycloalkyl, aryl, heteroaryl,         C₃₋₁₁heterocyclyl, OC₁₋₈cycloalkyl, SC₁₋₈cycloalkyl,         NHC₁₋₈cycloalkyl, N(C₁₋₈cycloalkyl)₂,         N(C₁₋₈cycloalkyl)(C₁₋₈alkyl), OH, NH₂, SH, SO₂C₁₋₈alkyl,         P(O)(OC₁₋₈alkyl)(C₁₋₈alkyl), P(O)(OC₁₋₈alkyl)₂, CC—C₁₋₈alkyl,         CCH, CH═CH(C₁₋₈alkyl), C(C₁₋₈alkyl)═CH(C₁₋₈alkyl),         C(C₁₋₈alkyl)═C(C₁₋₈alkyl)₂, Si(OH)₃, Si(C₁₋₈alkyl)₃,         Si(OH)(C₁₋₈alkyl)₂, COC₁₋₈alkyl, CO₂H, halogen, CN, CF₃, CHF₂,         CH₂F, NO₂, SF_(S), SO₂NHC₁₋₈alkyl, SO₂N(C₁₋₈alkyl)₂,         SONHC₁₋₈alkyl, SON(C₁₋₈alkyl)₂, CONHC₁₋₈alkyl, CON(C₁₋₈alkyl)₂,         N(C₁₋₈alkyl)CONH(C₁₋₈alkyl), N(C₁₋₈alkyl)CON(C₁₋₈alkyl)₂,         NHCONH(C₁₋₈alkyl), NHCON(C₁₋₈alkyl)₂, NHCONH₂,         N(C₁₋₈alkyl)SO₂NH(C₁₋₈alkyl), N(C₁₋₈alkyl) SO₂N(C₁₋₈alkyl)₂, NH         SO₂NH(C₁₋₈alkyl), NH SO₂N(C₁₋₈alkyl)₂, NH SO₂NH₂.

In any aspect or embodiment described herein, the linker (L) comprises a group represented by a general structure selected from the group consisting of:

-   —N(R)—(CH2)_(m)—O(CH2)_(n)—O(CH2)_(o)—O(CH2)_(p)—O(CH2)_(q)—O(CH2)_(r)-OCH2-, -   O—(CH2)_(m)—O(CH2)_(n)—O(CH2)_(o)O(CH2)_(p)—O(CH2)_(q)—O(CH2)_(r)-OCH2-, -   O—(CH2)_(m)—O(CH2)_(n)—O(CH2)_(o)O(CH2)_(p)—O(CH2)_(q)—O(CH2)_(r)—O—; -   —N(R)—(CH2)_(m)—O(CH2)_(n)—O(CH2)_(o)—O(CH2)_(p)—O(CH2)_(q)—O(CH2)_(r)—O—; -   (CH2)_(m)—O(CH2)_(n)—O(CH2)_(o)O(CH2)_(p)—O(CH2)_(q)—O(CH2)_(r)—O—; -   (CH2)_(m)—O(CH2)_(n)—O(CH2)_(o)—O(CH2)_(p)—O(CH2)_(q)—O(CH2)_(r)-OCH2-;

wherein each m, n, o, p, q, and r is independently 0, 1, 2, 3, 4, 5, 6 with the proviso that when the number is zero, there is no N—O or O—O bond, R is selected from the group H, methyl and ethyl, and X is selected from the group H and F;

In any aspect or embodiment described herein, the linker (L) is selected from the group consisting of:

wherein each m and n is independently selected from 0, 1, 2, 3, 4, 5 or 6.

In any aspect or embodiment described herein, the linker (L) is selected from the group consisting of:

wherein each m, n, o, p, q, and r is independently 0, 1, 2, 3, 4, 5, 6, or 7.

In any aspect or embodiment described herein, the linker (L) is selected from:

In any aspect or embodiment described herein, the linker (L) comprises the following chemical structure:

wherein:

-   -   W^(L1) and W^(L2) are each independently a 4-8 membered ring         with 0-4 heteroatoms, optionally substituted with RQ, each RQ is         independently a H, halo, OH, CN, CF3, C1-C6 alkyl (linear,         branched, optionally substituted), C1-C6 alkoxy (linear,         branched, optionally substituted), or 2 RQ groups taken together         with the atom they are attached to, form a 4-8 membered ring         system containing 0-4 heteroatoms;     -   Y^(L1) is each independently a bond, C1-C6 alkyl (linear,         branched, optionally substituted) and optionally one or more C         atoms are replaced with 0; or C1-C6 alkoxy (linear, branched,         optionally substituted);     -   n is 0-10; and         a dashed line indicates the attachment point to the PTM or ULM         moieties.

In any aspect or embodiment described herein, the linker (L) comprises the following chemical structure:

wherein:

-   -   W^(L1) and W^(L2) are each independently aryl, heteroaryl,         cyclic, heterocyclic, C₁₋₆ alkyl, bicyclic, biaryl,         biheteroaryl, or biheterocyclic, each optionally substituted         with R^(Q), each R^(Q) is independently a H, halo, OH, CN, CF₃,         hydroxyl, nitro, C≡CH, C₂₋₆ alkenyl, C₂₋₆ alkynyl, C₁-C₆ alkyl         (linear, branched, optionally substituted), C₁-C₆ alkoxy         (linear, branched, optionally substituted), OC₁₋₃alkyl         (optionally substituted by 1 or more —F), OH, NH₂,         NR^(Y1)R^(Y2), CN, or 2 R^(Q) groups taken together with the         atom they are attached to, form a 4-8 membered ring system         containing 0-4 heteroatoms;     -   Y^(L1) is each independently a bond, NR^(YL1), O, S, NR^(YL2),         CR^(YL1)R^(YL2), C═O, C═S, SO, SO₂, C₁-C₆ alkyl (linear,         branched, optionally substituted) and optionally one or more C         atoms are replaced with O; C₁-C₆ alkoxy (linear, branched,         optionally substituted);     -   Q^(L) is a 3-6 membered alicyclic or aromatic ring with 0-4         heteroatoms, optionally bridged, optionally substituted with 0-6         R^(Q), each R^(Q) is independently H, C₁₋₆ alkyl (linear,         branched, optionally substituted by 1 or more halo, C₁₋₆         alkoxyl), or 2 R^(Q) groups taken together with the atom they         are attached to, form a 3-8 membered ring system containing 0-2         heteroatoms);     -   R^(YL1), R^(YL2) are each independently H, OH, C₁₋₆ alkyl         (linear, branched, optionally substituted by 1 or more halo,         C₁₋₆ alkoxyl), or R¹, R² together with the atom they are         attached to, form a 3-8 membered ring system containing 0-2         heteroatoms);     -   n is 0-10; and         a dashed line indicates the attachment point to the PTM or ULM         moieties.

In any aspect or embodiment described herein, the linker (L) is selected from:

In any aspect or embodiment described herein, the linker (L) is a polyethylenoxy group optionally substituted with aryl or phenyl comprising from 1 to 10 ethylene glycol units.

In any aspect or embodiment described herein, the compound comprises multiple ULMs, multiple PTMs, multiple linkers or any combinations thereof.

In any aspect or embodiment described herein, the compound is selected from the group consisting of PROTAC-1 through PROTAC-38.

In any aspect or embodiments described herein, the compound comprises at least one of a PTM from Table 4 (i.e., the PTM is selected from the group consisting of PTM1-PTM18 [i.e., PTM1, PTM2, PTM3, PTM4, PTM5, PTM6, PTM7, PTM8, PTM9, PTM10, PTM11, PTM12, PTM13, PTM14, PTM15, PTM16, PTM17, PTM18]), a linker from Table 5 (i.e., the linker is selected from the group consisting of Linker1-Linker9 [i.e., Linker1, Linker2, Linker3, Linker4, Linker5, Linker6, Linker1, Linker8, Linker9]), a ULM from Table 6 (i.e., the ULM is selected from the group consisting of ULM1-ULM6 [i.e., ULM1, ULM2, ULM3, ULM4, ULM5, ULM6]), or a combination thereof.

In an additional aspect, the present disclosure provides a composition. The composition comprises an effective amount of a bifunctional compound of the present disclosure, and a pharmaceutically acceptable carrier.

In any aspect or embodiment described herein, the composition further comprises at least one of additional bioactive agent or another bifunctional compound of any of claims 1-28.

In any aspect or embodiment described herein, the additional bioactive agent is anti-cancer agent.

In a further aspect, the present disclosure provides a composition comprising a pharmaceutically acceptable carrier and an effective amount of at least one compound of the present disclosure for treating a disease or disorder in a subject, the method comprising administering the composition to a subject in need thereof, wherein the compound is effective in treating or ameliorating at least one symptom of the disease or disorder.

In any aspect or embodiment described herein, the disease or disorder is associated with FLT3 accumulation and aggregation.

In any aspect or embodiment described herein, the disease or disorder is a neoplasia or cancer associated with FLT3 accumulation and aggregation.

In any aspect or embodiment described herein, the disease or disorder is at least one member selected from the group consisting of squamous-cell carcinoma, basal cell carcinoma, adenocarcinoma, hepatocellular carcinomas, and renal cell carcinomas, cancer of the bladder, bowel, breast, cervix, colon, esophagus, head, kidney, liver, lung, neck, ovary, pancreas, prostate, and stomach; leukemias; benign and malignant lymphomas, particularly Burkitt's lymphoma and Non-Hodgkin's lymphoma; benign and malignant melanomas; myeloproliferative diseases; sarcomas, including Ewing's sarcoma, hemangiosarcoma, Kaposi's sarcoma, liposarcoma, myosarcomas, peripheral neuroepithelioma, synovial sarcoma, gliomas, astrocytomas, oligodendrogliomas, ependymomas, gliobastomas, neuroblastomas, ganglioneuromas, gangliogliomas, medulloblastomas, pineal cell tumors, meningiomas, meningeal sarcomas, neurofibromas, and Schwannomas; bowel cancer, breast cancer, prostate cancer, cervical cancer, uterine cancer, lung cancer, ovarian cancer, testicular cancer, thyroid cancer, astrocytoma, esophageal cancer, pancreatic cancer, stomach cancer, liver cancer, colon cancer, melanoma; carcinosarcoma, Hodgkin's disease, Wilms' tumor and teratocarcinomas.

In any aspect or embodiment described herein, the disease or disorder is at least one of T-lineage Acute lymphoblastic Leukemia (T-ALL), T-lineage lymphoblastic Lymphoma (T-LL), Peripheral T-cell lymphoma, Adult T-cell Leukemia, Pre-B ALL, Pre-B Lymphomas, Large B-cell Lymphoma, Burkitts Lymphoma, B-cell ALL, Philadelphia chromosome positive ALL and Philadelphia chromosome positive CML. 

1. A bifunctional compound having the chemical structure: ULM-L-PTM, or a pharmaceutically acceptable salt, enantiomer, stereoisomer, solvate, polymorph or prodrug thereof, wherein: the ULM is a small molecule E3 ubiquitin ligase binding moiety that binds an E3 ubiquitin ligase; the PTM is a small molecule comprising a FLT3 protein targeting moiety; and the L is a bond or a chemical linking moiety connecting the ULM and the PTM.
 2. The compound according to claim 1, wherein the E3 ubiquitin ligase binding moiety that targets an E3 ubiquitin ligase selected from the group consisting of Von Hippel-Lindau (VLM), cereblon (CLM), mouse double-minute homolog2 (MLM), and IAP (ILM).
 3. The compound according to claim 1 or 2, wherein PTM is represented by Formula PTM-I or PTM-II:

or N-oxides thereof, wherein: q of PTM-I or PTM-II is 0, 1 or 2; p of PTM-I or PTM-II is 0 or 1; Q of PTM-I or PTM-II is NH, N(alkyl), O, 1 or a direct bond; X of PTM-I or PTM-II is N or CH; Z of PTM-I or PTM-II is NH, N(alkyl), or CH2; B of PTM-I or PTM-II is aryl (wherein said aryl is preferably phenyl), cyclopentadienyl, cycloalkyl (wherein said cycloalkyl is preferably cyclopentanyl, cyclohexanyl, cyclopentenyl or cyclohexenyl), heteroaryl (wherein said heteroaryl is preferably pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl, pyranyl, thiopyranyl, pyridinyl, pyrimidinyl, pyrazinyl, pyridinyl-N-oxide, or pyrrolyl-N-oxide, and most preferably pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl, pyridinyl, pyrimidinyl, or pyrazinyl), or a nine to ten membered benzo-fused heteroaryl (wherein said nine to ten membered benzo-fused heteroaryl is preferably benzothiazolyl, benzooxazolyl, benzoimidazolyl, benzofuranyl, indolyl, quinolinyl, isoquinolinyl, or benzo [b]thiophenyl); R₁ is H,

wherein n is 1, 2, 3 or 4; R_(a) of PTM-I or PTM-II is hydrogen, heteroaryl optionally substituted with R₅ (wherein said heteroaryl is preferably pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl, pyranyl, thiopyranyl, pyridinyl, pyrimidinyl, triazolyl, pyrazinyl, pyridinyl-N-oxide, or pyrrolyl-N-oxide, and most preferably pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl, pyridinyl, pyrimidinyl, triazolyl, or pyrazinyl), hydroxyl, alkylamino, dialkylamino, oxazolidinonyl optionally substituted with R₅, pyrrolidinonyl optionally substituted with R₅, piperidinonyl optionally substituted with R₅, cyclic heterodionyl optionally substituted with R₅, heterocyclyl optionally substituted with R₅ (wherein said heterocyclyl is preferably pyrrolidinyl, tetrahydrofuranyl, tetrahydrothiophenyl, imidazolidinyl, thiazolidinyl, oxazolidinyl, tetrahydropyranyl, tetrahydrothiopyranyl, thiomorphlinyl, thiomorpholinyl-1, 1-dioxide, piperidinyl, morpholinyl or piperazinyl), —COOR_(y), —CONR_(w)R_(x), —N(R_(y))CON(R_(w))(R_(x)), —N(R_(w))C(O)OR_(x), —N(R_(w))COR_(y), —SR_(y), —SOR_(y), —SO₂R_(y), —NR_(w)SO₂R_(y), —NR_(w)SO₂R_(x), —SO₃R_(y), or —OSO₂NR_(w)R_(x); R_(bb) of PTM-I or PTM-II is hydrogen, halogen, aryl, heteroaryl, or heterocyclyl; R₅ of PTM-I or PTM-II is one, two, or three substituents independently selected from: halogen, cyano, trifluoromethyl, amino, hydroxyl, alkoxy, —C(O)alkyl, —SO₂alkyl, —C(O)N(alkyl)₂, alkyl, —C(₁₋₄)alkyl-OH, or alkylamino; R_(w) and R_(x) of PTM-I or PTM-II are independently selected from: hydrogen, alkyl, alkenyl, aralkyl (wherein the aryl portion of said aralkyl is preferrably phenyl), or heteroaralkyl (wherein the heteroaryl portion of said heteroaralkyl is preferably pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl, pyranyl, thiopyranyl, pyridinyl, pyrimidinyl, pyrazinyl, pyridinyl-N-oxide, or pyrrolyl-N-oxide, and most preferably pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl, pyridinyl, pyrimidinyl, or pyrazinyl), or R_(w) and R_(x) may optionally be taken together to form a 5 to 7 membered ring, optionally containing a heteromoiety selected from: O, NH, N(alkyl), SO₂, SO, or S, preferably selected from the group consisting of:

R_(y) of PTM-I or PTM-II is selected from: hydrogen, alkyl, alkenyl, cycloalkyl (wherein said cycloalkyl is preferably cyclopentanyl or cyclohexanyl), aryl (wherein said aryl is preferably phenyl), aralkyl (wherein the aryl portion of said aralkyl is preferably phenyl), heteroaralkyl (wherein the heteroaryl portion of said heteroaralkyl is preferably pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl, pyranyl, thiopyranyl, pyridinyl, pyrimidinyl, pyrazinyl, pyridinyl-N-oxide, or pyrrolyl-N-oxide, and most preferably pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl, pyridinyl, pyrimidinyl, or pyrazinyl), or heteroaryl (wherein said heteroaryl is preferably pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl, pyranyl, thiopyranyl, pyridinyl, pyrimidinyl, pyrazinyl, pyridinyl-N-oxide, or pyrrolyl-N-oxide, and most preferably pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl, pyridinyl, pyrimidinyl, or pyrazinyl); and R₃ of PTM-I or PTM-II is one or more substituents, optionally present, and independently selected from: alkyl, alkoxy, halogen, alkoxyether, hydroxyl, thio, nitro, cycloalkyl optionally substituted with R4 (wherein said cycloalkyl is preferably cyclopentanyl or cyclohexanyl), heteroaryl optionally substituted with R4 (wherein said heteroaryl is preferably pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl, pyranyl, thiopyranyl, pyridinyl, pyrimidinyl, pyrazinyl, pyridinyl-N-oxide, or pyrrolyl-N-oxide; and most preferably pyrrolyl, furanyl, thiophenyl, imidazolyl, thiazolyl, oxazolyl, pyridinyl, pyrimidinyl, or pyrazinyl), alkylamino, heterocyclyl optionally substituted with R4 (wherein said heterocyclyl is preferably azapenyl, pyrrolidinyl, tetrahydrofuranyl, tetrahydrothiophenyl, imidazolidinyl, thiazolidinyl, oxazolidinyl, tetrahydropyranyl, tetrahydrothiopyranyl, piperidinyl, morpholinyl, or piperazinyl), partially unsaturated heterocyclyl optionally substituted with R₄, (wherein said partially unsaturated heterocyclyl is preferably tetrahydropyridinyl. tetrahydropyrazinyl, dihydrofuranyl, dihydrooxazinyl, dihydropyrrolyl, or dihydroimidazolyl), —O(cycloalkyl), pyrrolidinone optionally substituted with R₄, phenoxy optionally substituted with R₄, —CN, —OCHF₂, —OCF₃, —CF₃, halogenated alkyl, heteroaryloxy optionally substituted with R₄, dialkylamino, —NHSO₂alkyl, thioalkyl, or —SO₂alkyl; wherein R4 is independently selected from: halogen, cyano, trifluoromethyl, amino, hydroxyl, alkoxy, —C(O)alkyl, —CO₂alkyl, —SO₂alkyl, —C(O)N(alkyl)₂, alkyl, or alkylamino.
 4. The compound according to claim 1 or 2, wherein the PTM is represented by Formula PTM-III:

wherein: A of PTM-III is selected from phenyl or pyridyl, either of which may be substituted with one of chloro, fluoro, methyl, —N₃, —NH₂, —NH(alkyl), —N(alkyl)₂, —S(alkyl), —O(alkyl), or 4-aminophenyl; W of PTM-III is selected from pyrrolyl (including 1H-pyrrol-2-yl), imidazolyl, (including 1H-imidazol-2-yl), isoxazolyl, oxazolyl, 1,2,4 triazolyl, or furanyl (including furan-2-yl), any of which may be connected through any carbon atom, wherein the pyrrolyl, imidazolyl, isoxazolyl, oxazolyl, 1,2,4 triazolyl, or furanyl may contain one —Cl, —CN, —NO₂, —OMe, or —CF₃ substitution, connected to any other carbon; R² of PTM-III is selected from cycloalkyl (including cyclohexenyl, cyclopentenyl), thiophenyl, dihydrosulfonopyranyl, phenyl, furanyl, tetrahydropyridyl, or dihydropyranyl, any of which may be independently substituted with one or two of each of the following: chloro, fluoro, and C₍₁₋₃₎alkyl (including 4,4-dimethyl cyclohexenyl, 4-methyl cyclohexenyl, 2-methyl thiophenyl, 3-methyl thiophenyl), with the proviso that tetrahydropyridyl is connected to the ring A through a carbon-carbon bond; X of PTM-III is selected from:

Z of PTM-III is CH or N; D¹ and D² of PTM-III are each hydrogen or taken together form a double bond to an oxygen; D³ and D⁴ of PTM-III are each hydrogen or taken together form a double bond to an oxygen; D⁵ of PTM-III is selected from hydrogen or —CH₃, wherein said —CH₃ may be relatively oriented syn or anti; R_(a) and R_(b) of PTM-III are independently selected from hydrogen, cycloalkyl, haloalkyl, aryl, aralkyl, heteroaryl, or heteroaralkyl; E of PTM-III is selected from N, S, O, SO or SO₂, with the proviso that E may not be N if the following three conditions are simultaneously met: Q_(a) is absent, Q_(b) is absent, and R³ is an amino group or cyclic amino radical wherein the point of attachment to E is N; Q_(a) of PTM-III is selected from being absent, —CH₂—, —CH₂CH₂—, or C(O); Q_(b) of PTM-III is selected from being absent, —NH—, —CH₂—, —CH₂CH₂—, or C(O), with the proviso that Q_(b) may not be C(O) if Q_(a) is C(O), and further provided that Q_(b) may not be —NH— if E is N and Q_(a) is absent, further provided that Q_(b) may not be —NH— if R³ is an amino group or cyclic amino radical wherein the point of attachment to Q_(b) is N; R³ of PTM-III is selected from hydrogen, phenyl, hydroxyalkylamino (including 2-hydroxy ethylamino), (hydroxyalkyl)₂amino, hydroxyalkyl(alkyl)amino (including 1-hydroxyeth-2-yl(methyl)amino), alkylamino (including methylamino), aminoalkyl (including 2-amino isopropyl), dihydroxyalkyl (including 1,3-dihydroxy isopropyl, 1,2-dihydroxy ethyl), alkoxy (including methoxy), dialkylamino (including dimethylamino), hydroxyalkyl (including 1-hydroxyeth-2-yl), —COOH, —CONH₂, —CN, —SO₂-alkyl-R⁴ (including —SO₂CH₃), —NH₂, or a 5 or six membered ring which contains at least one heteroatom N and may optionally contain an additional heteromoiety selected from S, SO₂, N, and O, and the 5 or 6 membered ring may be saturated, partially unsaturated or aromatic (including piperidinyl, morpholinyl, imidazolyl, and pyridyl) wherein aromatic nitrogen in the 5 or 6 membered ring may be present as N-oxide (including pyridyl N-oxide), and the 5 or 6 membered ring may be optionally substituted with methyl, halogen, alkylamino, or alkoxy (including 1 methyl imidazolyl); R³ may also be absent, with the proviso that R³ is not absent when E is nitrogen; and R⁴ of PTM-III is selected from hydrogen, —OH, alkoxy, carboxy, carboxamido, or carbamoyl.
 5. The compound according to claim 1 or 2, wherein PTM is represented by Formula PTM-IV:

wherein: W of PTM-IV is C, N, O; X of PTM-IV can be C, N, absent; Y of PTM-IV can be C; Z of PTM-IV can be C, N; and R groups can be substituted variants of: R¹ of PTM-IV can be H, alkoxy, hydroxyl, heterocyclic alkyl/aryl; R² of PTM-IV can be H, F, alkoxy, heterocyclic alkyl/aryl; R³ of PTM-IV can be H, O, aryl, heteroaryl, C(O)heteroaryl; R⁴ of PTM-IV can be H, alkyl, aryl, heteroaryl, CH-heteroaryl, absent; R⁵ of PTM-IV can be H, aryl, heteroalkyl/aryl, absent; and the dashed lines between WX, WY, YZ, YR³, and ZR⁴ of PTM-IV indicating an optionally double bond, wherein the aryl, heteroaryl, heterocyclic alkyl/aryl are optionally substituted.
 6. The compound according to claim 1 or 2, wherein the PTM is represented by Formula PTM-V:

wherein: X₁ of PTM-V is N or CR², X₂ is N or CR⁶, Y₁ is N or CR⁴, and Y₂ is N or CR⁵, provided, however, that not more than one of X₂, Y₁ and Y₂ is N; L¹ of PTM-V is selected from the group consisting of optionally substituted lower alkylene, —S—, —O—, —C(O)—, —C(S)—, —S(O)—, —S(O)₂—, and —NR⁷—; L² of PTM-V is selected from the group consisting of a bond, optionally substituted lower alkylene, -(alk)_(a)-S-(alk)_(b)-, -(alk)_(a)-O-(alk)_(b)-, -(alk)_(a)-OC(O)-(alk)_(b)-, -(alk)_(a)-C(O)O-(alk)_(b)-, -(alk)_(a)-OC(S)-(alk)_(b)-, -(alk)_(a)-C(S)O-(alk)_(b)-, -(alk)_(a)-C(O)-(alk)_(b)-, -(alk)_(a)-C(S)-(alk)_(b)-, -(alk)_(a)-C(O)NR⁹-(alk)_(b)-, -(alk)_(a)-OC(O)NR⁹-(alk)_(b)-, -(alk)_(a)-OC(S)NR⁹-(alk)_(b)-, -(alk)_(a)-C(S)NR⁹-(alk)_(b)-, -(alk)_(a)-S(O)-(alk)_(b)-, -(alk)_(a)-S(O)₂-(alk)_(b)-, -(alk)_(a)-S(O)₂NR⁹-(alk)_(b)-, -(alk)_(a)-NR⁹-(alk)_(b)-, -(alk)_(a)-NR⁹C(O)-(alk)_(b)-, -(alk)_(a)-NR⁹C(S)-(alk)_(b)-, (alk)_(a)-NR⁹C(O)NR⁹-(alk)_(b)-, -(alk)_(a)-NR⁹C(S)NR⁹-(alk)_(b)-, -(alk)_(a)-NR⁹C(O)O-(alk)_(b)-, -(alk)_(a)-NR⁹C(S)O-(alk)_(b)-, -(alk)_(a)-NR⁹S(O)₂-(alk)_(b)-, and -(alk)_(a)-NR⁹S(O)₂NR⁹-(alk)_(b)-, wherein alk is optionally substituted C₁₋₃ alkylene and a and b are independently 0 or 1; R¹ of PTM-V is selected from the group consisting of optionally substituted lower alkyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, and optionally substituted heteroaryl; R², R⁴, R⁵ and R⁶ of PTM-V are independently selected from the group consisting of hydrogen, halogen, optionally substituted lower alkyl, optionally substituted lower alkenyl, optionally substituted lower alkynyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, optionally substituted heteroaryl, —OH, —NH₂, —NO₂, —CN, —C(O)OH, —C(S)OH, —C(O)NH₂, —C(S)NH₂, —S(O)₂NH₂, —NHC(O)NH₂, —NHC(S)NH₂, —NHS(O)₂NH₂, —NR¹⁰R¹¹, NHR³, —OR³, —SR³, —C(O)R³, —C(S)R³, —S(O)R³, —S(O)₂R³, —C(O)OR³, —C(S)OR³, —C(O)NHR³, —C(O)NR³R³, —C(S)NHR³, —C(S)NR³R³, —S(O)₂NHR³, —S(O)₂NR³R³, —NHC(O)R³, —NR³C(O)R³, —NHC(S)R³, —NR³C(S)R³, —NHS(O)₂R³, —NR³S(O)₂R³, —NHC(O)OR³, —NR³C(O)OH, —NR³C(O)OR³, —NHC(S)OR³, —NR³C(S)OH, —NR³C(S)OR³, —NHC(O)NHR³, —NHC(O)NR³R³, —NR³C(O)NH₂, —NR³C(O)NHR³, —NR³C(O)NR³R³, —NHC(S)NHR³, —NHC(S)NR³R³, —NR³C(S)NH₂, —NR³C(S)NHR³, —NR³C(S)NR³R³, —NHS(O)₂NHR³, —NHS(O)₂NR³R³, —NR³S(O)₂NH₂, —NR³S(O)₂NHR³, and —NR³S(O)₂NR³R³; Ar₁ of PTM-V is a 5 or 6 membered optionally substituted heteroarylene having the structure

wherein

indicates the point of attachment of L¹ and

indicates the point of attachment of L², and wherein the indicated N is either ═N— or —N═; n of PTM-V is 0 or 1; F and J of PTM-V are both C or one of F and J is C and the other of F and J is N; P and Q of PTM-V are independently selected from CR, N, NR, O or S; T of PTM-V is selected from CR or N; wherein: when n is 1, F and J are C, and P, T and Q are CR, or any one of P, T and Q is N and the other two of P, T and Q are CR, when n is 0 and F and J are both C, then one of P and Q are CR, N or NR and the other of P and Q is C, N, NR, O or S, provided both P and Q are not CR, when n is 0, one of F and J is N and the other of F and J is C, then one of P and Q is N and the other of P and Q is CR or both P and Q are CR, and R of PTM-V is hydrogen or an optional substituent as defined herein for optionally substituted heteroarylene that provides a stable compound; R³ of PTM-V at each occurrence is independently selected from the group consisting of optionally substituted lower alkyl, optionally substituted lower alkenyl, provided, however, that no alkene carbon thereof is bound to any —C(O)—, —C(S)—, —S(O)—, —S(O)₂—, —O—, —S—, or —N— of any of —OR³, —SR³, —C(O)R³, —C(S)R³, —S(O)R³, —S(O)₂R³, —C(O)OR³, —C(S)OR³, —C(O)NHR³, —C(O)NR³R³, —C(S)NHR³, —C(S)NR³R³, —S(O)₂NHR³, —S(O)₂NR³R³, —NHR³, —NHC(O)R³, —NR³C(O)R³, —NHC(S)R³, —NR³C(S)R³, —NHS(O)₂R³, —NR³S(O)₂R³, —NHC(O)OR³, —NR³C(O)OH, —NR³C(O)OR³, —NHC(S)OR³, —NR³C(S)OH, —NR³C(S)OR³, —NHC(O)NHR³, —NHC(O)NR³R³, —NR³C(O)NH₂, —NR³C(O)NHR³, —NR³C(O)NR³R³, —NHC(S)NHR³, —NHC(S)NR³R³, —NR³C(S)NH₂, —NR³C(S)NHR³, —NR³C(S)NR³R³, —NHS(O)₂NHR³, —NHS(O)₂NR³R³, —NR³S(O)₂NH₂, —NR³S(O)₂NHR³, or —NR³S(O)₂NR³R³, optionally substituted lower alkynyl, provided, however, that no alkyne carbon thereof is bound to any —C(O)—, —C(S)—, —S(O)—, —S(O)₂, O, S, or —N— of any of —OR³, —SR³, —C(O)R³, —C(S)R³, —S(O)R³, —S(O)₂R³, —C(O)OR³, —C(S)OR³, —C(O)NHR³, —C(O)NR³R³, —C(S)NHR³, —C(S)NR³R³, —S(O)₂NHR³, —S(O)₂NR³R³, —NHR³, —NHC(O)R³, —NR³C(O)R³, —NHC(S)R³, —NR³C(S)R³, —NHS(O)₂R³, —NR³S(O)₂R³, —NHC(O)OR³, —NR³C(O)OH, —NR³C(O)OR³, —NHC(S)OR³, —NR³C(S)OH, —NR³C(S)OR³, —NHC(O)NHR³, —NHC(O)NR³R³, —NR³C(O)NH₂, —NR³C(O)NHR³, —NR³C(O)NR³R³, —NHC(S)NHR³, —NHC(S)NR³R³, —NR³C(S)NH₂, —NR³C(S)NHR³, —NR³C(S)NR³R³, —NHS(O)₂NHR³, —NHS(O)₂NR³R³, —NR³S(O)₂NH₂, —NR³S(O)₂NHR³, or —NR³S(O)₂NR³R³, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, and optionally substituted heteroaryl; R⁷ of PTM-V is selected from the group consisting of hydrogen, optionally substituted lower alkyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, optionally substituted heteroaryl, —C(O)R⁸, and —S(O)₂R⁸; R⁸ of PTM-V is selected from the group consisting of optionally substituted lower alkyl, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl and optionally substituted heteroaryl; R⁹ of PTM-V at each occurrence is independently selected from the group consisting of hydrogen, lower alkyl, and lower alkyl substituted with one or more substituents selected from the group consisting of fluoro, —OH, —NH₂, lower alkoxy, fluoro substituted lower alkoxy, lower alkylthio, fluoro substituted lower alkylthio, mono-alkylamino, fluoro substituted mono-alkylamino, di-alkylamino, fluoro substituted di-alkylamino, and —NR¹²R¹³, provided, however, that when R⁹ is substituted lower alkyl, any substitution on the alkyl carbon bound to the —N— of NR⁹— is fluoro; R¹⁰ and R¹¹ of PTM-V at each occurrence are independently selected from the group consisting of optionally substituted lower alkyl, optionally substituted lower alkenyl, provided, however, that no alkene carbon thereof is bound to the nitrogen of NR¹⁰R¹¹, optionally substituted lower alkynyl, provided, however, that no alkyne carbon thereof is bound to the nitrogen of —NR¹⁰R¹¹, optionally substituted cycloalkyl, optionally substituted heterocycloalkyl, optionally substituted aryl, and optionally substituted heteroaryl; or R¹⁰ and R¹¹ of PTM-V together with the nitrogen to which they are attached form a monocyclic 5-7 membered optionally substituted heterocycloalkyl or a monocyclic 5 or 7 membered optionally substituted nitrogen containing heteroaryl; and R¹² and R¹³ of PTM-V combine with the nitrogen to which they are attached to form a 5-7 membered heterocycloalkyl or 5-7 membered heterocycloalkyl substituted with one or more substituents selected from the group consisting of fluoro, —OH, —NH₂, lower alkyl, fluoro substituted lower alkyl, lower alkoxy, fluoro substituted lower alkoxy, lower alkylthio, and fluoro substituted lower alkylthio.
 7. The compound according to claim 1 or 2, wherein the PTM is represented by Formula PTM-VI:

wherein: Ar of PTM-VI is selected from the group consisting of optionally substituted or unsubstituted aryl, and optionally substituted or unsubstituted heteroaryl, when substituted, the substituents could be one or more groups independently selected from halogen, alkyl, haloalkyl, or hydroxyl alkyl; L of PTM-VI is H, optionally substituted or unsubstituted alkyl, optionally substituted or unsubstituted cycloalkyl, optionally substituted or unsubstituted cycloalkylalkyl, optionally substituted or unsubstituted aryl, optionally substituted or unsubstituted arylalkyl, optionally substituted or unsubstituted sulfonamido, optionally substituted or unsubstituted heterocycloalkyl, optionally substituted or unsubstituted heterocycloalkylalkyl, optionally substituted or unsubstituted heteroaryl or optionally substituted or unsubstituted heteroarylalkyl; when substituted, the substituents can be one or more groups independently selected from the group consisting of halo, alkyl, haloalkyl, cycloalkyl, cycloalkylalkyl, heterocycloalkyl, heterocycloalkylalkyl, amino, aminoalkyl, amido, aminocarbonyl, sulfonamido, ureido, cyano, acetyl, acyl, carboxylic acid, hydroxyl, hydroxylalkyl, alkoxyl, —NHalkylhydroxyl, —NHalkoxyalkyl, —NHalkylamnio, —NHcycloalkyl, —NHcycloalkylalkyl, —N Hheterocycloalkyl, —NH heterocycloalkylalkyl, —NHaryl, —NHarylalkyl, —NHheteroaryl, or —NHheteroarylalkyl; Y of PTM-VI is O, S, NR₂R_(2′) or a direct bond (that means L directly connected with the left heteroaryl); X₁, X₂, X₃ and X₄ of PTM-VI are independently N or CR₁, R₁ of PTM-VI is H, or —Y-L; R, R₂ and R₂′ of PTM-VI are each independently selected from the group consisting of hydrogen, alkyl, cycloalkyl, aryl, heteroaryl, haloalkoxyl, hydroxyl, amino, aminocarbonyl, sulfonamido, cyano, alkynyl, alkoxyl, aryloxyl, carboxylic acid, carboxylic ester or halogen, or R₂, R₂′ together with the nitrogen atom to which they are attached, form a 3- to 7-membered heterocycloalkyl ring, and the hetero atom could be selected from at least one of O, S or N atoms. The 3- to 7-membered heterocycloalkyl ring could be further optionally substituted with a group independently selected from alkyl, cycloalkyl, methylsulfonyl, ureido, acyl, amido, aminocarbonyl, alkylamino, alkylhydroxyl, heterocycloalkyl, aryl, or heteroaryl. Preferably R₂, R₂′ and the N could be formed a heterocycle such as

and R₇ of PTM-VI is independently selected from H, methylsulfonyl, lower alkyl, that is C₁-C₆ straight chain and branched chain alkyl, such as methyl, ethyl, propyl, 2-propyl, n-butyl, iso-butyl, tert-butyl, pentyl, neopentyl, hexyl, isohexyl.
 8. The compound according to claim 1 or 2, wherein the PTM is represented by Formula PTM-VII:

wherein: L of PTM-VII is a bond, substituted or unsubstituted alkylene, or substituted or unsubstituted heteroalkylene; R¹ of PTM-VII is hydrogen, halogen, —CF₃, —CCl₃, —CBr₃, —CI₃, —OCF₃, —OCCl₃, —OCBr₃, —OCI₃, —CN, —OH, —NH₂, —COOH, —C(O)OR₄, —CONH₂, —NO₂, —SH, —NHNH₂, —NR²R³, —OR⁴, —SR⁴, substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl or substituted or unsubstituted heteroaryl. R² and R³ are independently substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl, substituted or unsubstituted heteroaryl; R₂ and R₃ of PTM-VII are optionally joined together to form a substituted or unsubstituted heterocycloalkyl or substituted or unsubstituted heteroaryl. R⁴ of PTM-VII is substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl or substituted or unsubstituted heteroaryl; R₅ and R₆ of PTM-VII are independently hydrogen, halogen, —CF₃, —CCl₃, —CBr₃, —CI₃, —OCF₃, —OCCl₃, —OCBr₃, —OCl₃, —CN, —OH, —NH₂, —COOH, —C(O)OR₉, —CONH₂, —NO₂, —SH, —NHNH₂, —NR⁷R⁸, —OR⁹, —SR⁹, substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl or substituted or unsubstituted heteroaryl; R⁷ and R⁸ of PTM-VII are independently substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl or substituted or unsubstituted heteroaryl, or R⁷ and R⁸ are optionally joined together to form a substituted or unsubstituted heterocycloalkyl or substituted or unsubstituted heteroaryl; R⁹ of PTM-VII is substituted or unsubstituted alkyl, substituted or unsubstituted heteroalkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycloalkyl, substituted or unsubstituted aryl or substituted or unsubstituted heteroaryl.
 9. The compound according to claim 1 or 2, wherein the PTM is represented by Formula PTM-VIII:

wherein: R¹ of PTM-VIII is a hydrogen atom or a substituted or unsubstituted C₁₋₆ alkyl group; R² of PTM-VIII is a hydrogen atom, a substituted or unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted C₂₋₆ alkenyl group, or a substituted or unsubstituted C₂₋₆ alkynyl group; R³ of PTM-VIII is a hydrogen atom, a substituted or unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted C₂₋₆ alkenyl group, or a substituted or unsubstituted C₂₋₆ alkynyl group; or R² and R³ of PTM-VIII may bind together to form an atomic bond; R⁴ of PTM-VIII is a hydrogen atom, a substituted or unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted C₂₋₆ alkenyl group, a substituted or unsubstituted C₂₋₆ alkynyl group, a substituted or unsubstituted C₃₋₈ cycloalkyl group, or an imino protecting group; m of R⁵ of PTM-VIII are the same or different, and is a hydrogen atom or a substituted or unsubstituted C₁₋₆ alkyl group; m of R⁶ of PTM-VIII are the same or different, and is a hydrogen atom or a substituted or unsubstituted C₁₋₆ alkyl group; or R⁵ and R⁶ of PTM-VIII binding to the same carbon atom may bind together to form: a substituted or unsubstituted C₂₋₆ alkylene group; an substituted or unsubstituted O—(C₁₋₆ alkylene) group, a substitute or unsubstituted N(R¹³)—(C₁₋₆ alkylene) group, wherein R¹³ is a hydrogen atom, a substituted or unsubstituted C₁₋₆ alkyl group or an imino protecting group; a substituted or unsubstituted (C₁₋₃ alkylene)-O—(C₁₋₃ alkylene) group; a substitute or unsubstituted (C₁₋₃ alkylene)-N(R¹³)—(C₁₋₃ alkylene) group, wherein R¹³ is a hydrogen atom, a substituted or unsubstituted C₁₋₆ alkyl group or an imino protecting group; n of R⁷ of PTM-VIII are the same or different, and is a hydrogen atom or a substitute or unsubstituted C₁₋₆ alkyl group; n of R⁸ of PTM-VIII are the same or different, and is a hydrogen atom or a substitute or unsubstituted C₁₋₆ alkyl group; or R⁷ and R⁸ of PTM-VIII binding to the same carbon atom may bind together to form: a substituted or unsubstituted C₂₋₆ alkylene group; an substituted or unsubstituted O—(C₁₋₆ alkylene) group; a substituted or unsubstituted N(R¹⁴)—(C₁₋₆ alkylene) group, wherein R¹⁴ is a hydrogen atom, a substituted or unsubstituted C₁₋₆ alkyl group, or an imino protecting group; a substituted or unsubstituted (C₁₋₃ alkylene)-O—(C₁₋₃ alkylene) group; or a substituted or unsubstituted (C₁₋₃ alkylene)-N(R¹⁴)—(C₁₋₃ alkylene) group which may be substituted, wherein R¹⁴ is a hydrogen atom, a substituted or unsubstituted C₁₋₆ alkyl group, or an imino protecting group; R⁹ of PTM-VIII is: a substituted or unsubstituted C₁₋₆ alkyl group; a substituted or unsubstituted C₃₋₈ cycloalkyl; a substituted or unsubstituted aryl group; a substituted or unsubstituted C₁₋₆ alkoxy group; a substituted or unsubstituted heterocyclic group; N(R¹⁵)(R¹⁶) wherein R¹⁵ is a hydrogen atom, a substituted or unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted C₂₋₆ alkenyl group, a substituted or unsubstituted C₂₋₆ alkynyl group, or a substituted or unsubstituted C₃₋₈ cycloalkyl group, and R¹⁶ is a substituted or unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted C₂₋₆ alkenyl group, a substituted or unsubstituted C₂₋₆ alkynyl group, a substituted or unsubstituted C₃₋₈ cycloalkyl group, a substituted or unsubstituted aryl group, or a substituted or unsubstituted heterocyclic group, or R¹⁵ and R¹⁶ may form a substituted or unsubstituted cyclic amino group together with the nitrogen atom to which they bind; R¹⁰ of PTM-VIII is a hydrogen atom, a halogen atom, a substituted or unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted C₃₋₈ cycloalkyl group, a substituted or unsubstituted aryl group, a substituted or unsubstituted C₁₋₆ alkoxy group, or a substituted or unsubstituted heterocyclic group; R¹¹ of PTM-VIII is a hydrogen atom, a substituted or unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted C₂₋₆ alkenyl group, a substituted or unsubstituted C₂₋₆ alkynyl group, or a substituted or unsubstituted C₃₋₈ cycloalkyl group; R12 of PTM-VIII is a substituted or unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted C₂₋₆ alkenyl group, a substituted or unsubstituted C₂₋₆ alkynyl group, a substituted or unsubstituted C₃₋₈ cycloalkyl group, a substituted or unsubstituted aryl group, a substituted or unsubstituted heterocyclic group, or a substituted or unsubstituted carbamoyl group; X¹ of PTM-VIII represents a group represented by —X⁴—X⁵—, wherein: X⁴ is a substituted or unsubstituted divalent alicyclic hydrocarbon, a substituted or unsubstituted divalent aromatic hydrocarbon group, a substituted or unsubstituted divalent heterocyclic group, or a group represented by

 wherein p of R¹⁷ are the same or different, and is a hydrogen atom or a substituted or unsubstituted C₁₋₆ alkyl group, or one R¹⁷ selected from p of R¹⁷ may bind with R⁴ to form: a substituted or unsubstituted C₁₋₆ alkylene group: a substituted or unsubstituted (C₁₋₃ alkylene)-O group: a substituted or unsubstituted (C₁₋₃ alkylene)-N(R¹⁹) group, wherein R¹⁹ is a hydrogen atom, substituted or unsubstituted a C₁₋₆ alkyl group, or an imino protecting group; a substituted or unsubstituted (C₁₋₃ alkylene)-O—(C₁₋₃ alkylene) group; a substituted or unsubstituted (C₁₋₃ alkylene)-N(R¹⁹)—(C₁₋₃ alkylene) group, wherein R¹⁹ is a hydrogen atom, substituted or unsubstituted a C₁₋₆ alkyl group, or an imino protecting group; p of R¹⁸ are the same or different, and is a hydrogen atom or a substituted or unsubstituted C₁₋₆ alkyl group; or R¹⁷ and R¹⁸ binding to the same carbon atom may bind together to form: a substituted or unsubstituted C₂₋₆ alkylene group, a substituted or unsubstituted O—(C₁₋₆ alkylene); a substituted or unsubstituted N(R²⁰)—(C₁₋₆ alkylene) group, wherein R²⁰ is a hydrogen atom; a substituted or unsubstituted C₁₋₆ alkyl group or an imino protecting group; a substituted or unsubstituted (C₁₋₃ alkylene)-O—(C₁₋₃ alkylene) group; a substituted or unsubstituted (C₁₋₃ alkylene)-N(R²⁰)—(C₁₋₃ alkylene), wherein R²⁰ is a hydrogen atom; a substituted or unsubstituted C₁₋₆ alkyl group or an imino protecting group; and p represents an integer of 1 to 6; or an atomic bond; and X⁵ is an oxygen atom, N(R²¹) wherein R²¹ is a hydrogen atom, a substituted or unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted C₂₋₆ alkenyl group, a substituted or unsubstituted C₂₋₆ alkynyl group or an imino protecting group, or R²¹ may bind with R⁴ to form a substitute or unsubstituted C₁₋₆ alkylene group; C(═O); C(═O)—N(R²¹) wherein R²¹ is a hydrogen atom, a substituted or unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted C₂₋₆ alkenyl group, a substituted or unsubstituted C₂₋₆ alkynyl group or an imino protecting group; or an atomic bond; X² of PTM-VIII is a bond, a substituted or unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted C₁₋₆ alkylene group, a substituted or unsubstituted divalent alicyclic hydrocarbon group, a substituted or unsubstituted divalent aromatic hydrocarbon, or a substituted or unsubstituted divalent heterocyclic group; X³ of PTM-VIII is a substituted or unsubstituted C₁₋₆ alkylene group, a substituted or unsubstituted C₂₋₆ alkenylene group, a substituted or unsubstituted C₂₋₆ alkynylene group, a substituted or unsubstituted O—(C₁₋₆ alkylene) group, a substituted or unsubstituted S(O)_(q)—(C₁₋₆ alkylene) group wherein q represents 0, 1 or 2; a substituted or unsubstituted N(R²²)—(C₁₋₆ alkylene) group wherein R²² is a hydrogen atom, a substituted or unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted C₂₋₆ alkenyl group, a substitute or unsubstituted C₂₋₆ alkynyl group or an imino protecting group; N(R²²)—C(═O) wherein R²² is a hydrogen atom, a substituted or unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted C₂₋₆ alkenyl group, a substitute or unsubstituted C₂₋₆ alkynyl group or an imino protecting group; or an atomic bond; Z¹ of PTM-VIII is a nitrogen atom or C(R²³) wherein R²³ is a hydrogen atom, a halogen atom, a substituted or unsubstituted C₁₋₆ alkyl group, a substituted or unsubstituted C₃₋₈ cycloalkyl group, a substituted or unsubstituted aryl group, a substituted or unsubstituted C₁₋₆ alkoxy group or substituted or unsubstituted a heterocyclic group; m of PTM-VIII is an integer of 0, 1, 2, 3, 4, 5, or 6; and n of PTM-VIII is an integer of 0, 1, 2, 3, 4, 5, or 6).
 10. The compound according to claim 1 or 2, wherein the PTM is represented by Formula PTM-IX:

wherein: W of PTM-IX is an aryl, 5-membered heteroaryl, or 6-membered heteroaryl ring, each optionally substituted with one or more R_(PTM1) groups; X of PTM-IX is independently selected from C—R_(PTM1) or N; Y and Z of PTM-IX are independently selected from a bond or CH₂; m and n of PTM-IX are each independently 1 or 2; R_(PTM1) of PTM-IX is H, halogen, C₁₋₅alkyl, CN, OH, or O—C₁₋₅alkyl;

of PTM-IX indicates either a single or double bond; each R of PTM-IX is independently selected from H, halogen, C₁₋₅alkyl, CN, C(O)—C₁₋₅alkyl, C(O)O—C₁₋₅alkyl, OH, or O—C₁₋₅alkyl, each optionally substituted; and

of PTM-IX indicates a covalent linkage, optionally through an atom or functional group, to at least one of a linker (L), a ULM, a ULM′, a VLM, a VLM′, a CLM, a CLM′, an ILM, an ILM′, a MLM, a MLM′, or a combination thereof.
 11. The compound according to claim 10, wherein the PTM-IX comprises at least one of the following: W of PTM-IX is phenyl or furan, each optionally substituted with one or more R_(PTM1) groups; X of PTM-IX is CH; Y of PTM-IX is CH₂; Z of PTM-IX is CH₂; m and n of PTM-IX are each 1; R of PTM-IX is H; or a combination thereof.
 12. The compound according to any of claims 1-11, wherein ULM is a Von Hippel-Lindau (VHL) ligase-binding moiety (VLM) with a chemical structure represented by:

wherein: X¹, X² are each independently selected from the group of a bond, O, NR^(Y3), CR^(Y3)R^(Y4), C═O, C═S, SO, and SO₂; R^(Y3), R^(Y4) are each independently selected from the group of H, linear or branched C₁₋₆ alkyl, optionally substituted by 1 or more halo, C₁₋₆ alkoxyl optionally substituted by 0-3 R^(P) groups; R^(P) is 0, 1, 2, or 3 groups each independently selected from the group H, halo, —OH, C₁₋₃ alkyl, C═O; W³ is selected from the group of an optionally substituted -T-N(R^(1a)R^(1b))X³, T-N(R^(1a)R^(1b)), -T-Aryl, an optionally substituted -T-Heteroaryl, an optionally substituted -T-Heterocycle, an optionally substituted —NR¹-T-Aryl, an optionally substituted —NR¹-T-Heteroaryl or an optionally substituted —NR¹-T-Heterocycle; X³ is C═O, R¹, R^(1a), R^(1b); each of R¹, R^(1a), R^(1b) is independently selected from the group consisting of H, linear or branched C₁-C₆ alkyl group optionally substituted by 1 or more halo or —OH groups, R^(Y3)C═O, R^(Y3)C═S, R^(Y3)SO, R^(Y3)SO₂, N(R^(Y3)R^(Y4))C═O, N(R^(Y3)R^(Y4))C═S, N(R^(Y3)R^(Y4))SO, and NR^(Y3)R^(Y4))SO₂; T is selected from the group of an optionally substituted alkyl, —(CH₂)_(n)— group, wherein each one of the methylene groups is optionally substituted with one or two substituents selected from the group of halogen, methyl, a linear or branched C₁-C₆ alkyl group optionally substituted by 1 or more halogen or —OH groups or an amino acid side chain optionally substituted; and n is 0 to 6; W⁴ is

R_(14a), R_(14b), are each independently selected from the group of H, haloalkyl, or optionally substituted alkyl; W⁵ is selected from the group of a phenyl or a 5-10 membered heteroaryl, R₁₅ is selected from the group of H, halogen, CN, OH, NO₂, N R_(14a)R_(14b), OR_(14a), CONR_(14a)R_(14b), NR_(14a)COR_(14b), SO₂NR_(14a)R_(14b), NR_(14a) SO₂R_(14b), optionally substituted alkyl, optionally substituted haloalkyl, optionally substituted haloalkoxy; aryl, heteroaryl, cycloalkyl, or cycloheteroalkyl; and wherein the dashed line indicates the site of attachment of at least one PTM, another ULM (ULM′) or a chemical linker moiety coupling at least one PTM or a ULM′ or both to ULM.
 13. The compound according to any of claims 1-11, wherein ULM is a Von Hippel-Lindau (VHL) ligase-binding moiety (VLM) with a chemical structure represented by:

wherein: W³ is selected from the group of an optionally substituted aryl, optionally substituted heteroaryl, or

R₉ and R₁₀ are independently hydrogen, optionally substituted alkyl, optionally substituted cycloalkyl, optionally substituted hydroxyalkyl, optionally substituted heteroaryl, or haloalkyl, or R₉, R₁₀, and the carbon atom to which they are attached form an optionally substituted cycloalkyl; R₁₁ is selected from the group of an optionally substituted heterocyclic, optionally substituted alkoxy, optionally substituted heteroaryl, optionally substituted aryl,

R₁₂ is selected from the group of H or optionally substituted alkyl; R₁₃ is selected from the group of H, optionally substituted alkyl, optionally substituted alkylcarbonyl, optionally substituted (cycloalkyl)alkylcarbonyl, optionally substituted aralkylcarbonyl, optionally substituted arylcarbonyl, optionally substituted (heterocyclyl)carbonyl, or optionally substituted aralkyl; R_(14a), R_(14b), are each independently selected from the group of H, haloalkyl, or optionally substituted alkyl; W⁵ is selected from the group of a phenyl or a 5-10 membered heteroaryl, R₁₅ is selected from the group of H, halogen, CN, OH, NO₂, N R_(14a)R_(14b), OR_(14a), CONR_(14a)R_(14b), NR_(14a)COR_(14b), SO₂NR_(14a)R_(14b), NR_(14a) SO₂R_(14b), optionally substituted alkyl, optionally substituted haloalkyl, optionally substituted haloalkoxy; aryl, heteroaryl, cycloalkyl, or cycloheteroalkyl (each optionally substituted); R₁₆ is independently selected from the group of H, halo, optionally substituted alkyl, optionally substituted haloalkyl, hydroxy, or optionally substituted haloalkoxy; o is 0, 1, 2, 3, or 4; R₁₈ is independently selected from the group of halo, optionally substituted alkoxy, cyano, optionally substituted alkyl, haloalkyl, haloalkoxy or a linker; and p is 0, 1, 2, 3, or 4, and wherein the dashed line indicates the site of attachment of at least one PTM, another ULM (ULM′) or a chemical linker moiety coupling at least one PTM or a ULM′ or both to ULM.
 14. The compound of any of the claims 1-13, wherein the ULM has a chemical structure selected from the group of:

wherein: R₁ is H, ethyl, isopropyl, tert-butyl, sec-butyl, cyclopropyl, cyclobutyl, cyclopentyl, or cyclohexyl; optionally substituted alkyl, optionally substituted hydroxyalkyl, optionally substituted heteroaryl, or haloalkyl; R_(14a) is H, haloalkyl, optionally substituted alkyl, methyl, fluoromethyl, hydroxymethyl, ethyl, isopropyl, or cyclopropyl; R₁₅ is selected from the group consisting of H, halogen, CN, OH, NO₂, optionally substituted heteroaryl, optionally substituted aryl; optionally substituted alkyl, optionally substituted haloalkyl, optionally substituted haloalkoxy, cycloalkyl, or cycloheteroalkyl; X is C or C═O; R₃ is an optionally substituted 5 or 6 membered heteroaryl; and wherein the dashed line indicates the site of attachment of at least one PTM, another ULM (ULM′) or a chemical linker moiety coupling at least one PTM or a ULM′ or both to the ULM.
 15. The compound according to any one of claims 1-14, wherein the ULM comprises a group according to the chemical structure:

wherein: R_(14a) is H, haloalkyl, optionally substituted alkyl, methyl, fluoromethyl, hydroxymethyl, ethyl, isopropyl, or cyclopropyl; R₉ is H; R₁₀ is H, ethyl, isopropyl, tert-butyl, sec-butyl, cyclopropyl, cyclobutyl, cyclopentyl, or cyclohexyl; R₁₁ is; optionally substituted heteroaryl,

p is 0, 1, 2, 3, or 4; and each R₁₈ is independently halo, optionally substituted alkoxy, cyano, optionally substituted alkyl, haloalkyl, haloalkoxy or a linker; R₁₂ is H, C═O; R₁₃ is H, optionally substituted alkyl, optionally substituted alkylcarbonyl, optionally substituted (cycloalkyl)alkylcarbonyl, optionally substituted aralkylcarbonyl, optionally substituted arylcarbonyl, optionally substituted (heterocyclyl)carbonyl, or optionally substituted aralkyl; R₁₅ is selected from the group consisting of H, halogen, Cl, CN, OH, NO₂, optionally substituted heteroaryl, optionally substituted aryl;

and wherein the dashed line indicates the site of attachment of at least one PTM, another ULM (ULM′) or a chemical linker moiety coupling at least one PTM or a ULM′ or both to the ULM.
 16. The compound of any of claims 1-11, wherein the ULM is a cereblon E3 ligase-binding moiety (CLM) selected from the group consisting of a thalidomide, lenalidomide, pomalidomide, analogs thereof, isosteres thereof, or derivatives thereof.
 17. The compound of claims 1-11 and 16, wherein the CLM has a chemical structure represented by:

wherein: W is selected from the group consisting of CH₂, CHR, C═O, SO₂, NH, and N-alkyl; each X is independently selected from the group consisting of O, S, and H₂, Y is selected from the group consisting of CH₂, —C═CR′, NH, N-alkyl, N-aryl, N-hetaryl, N-cycloalkyl, N-heterocyclyl, O, and S; Z is selected from the group consisting of O, S, and H₂; G and G′ are independently selected from the group consisting of H, alkyl (linear, branched), OH, R′ OCOOR, R′OCONRR″, CH₂-heterocyclyl optionally substituted with R′, and benzyl optionally substituted with R′; Q₁, Q₂, Q₃, and Q₄ represent a carbon C substituted with a group independently selected from R′, N or N-oxide; A is independently selected from the group H, alkyl (linear, branched, optionally substituted), cycloalkyl, Cl and F; R comprises —CONR′R″, —OR′, —NR′R″, —SR′, —SO₂R′, —SO₂NR′R″, —CR′R″—, —CR′NR′R″—, -aryl, -hetaryl, -alkyl, -cycloalkyl, -heterocyclyl, —P(O)(OR′)R″, —P(O)R′R″, —OP(O)(OR′)R″, —OP(O)R′R″, —Cl, —F, —Br, —I, —CF₃, —CN, —NR′SO₂NR′R″, —NR′CONR′R″, —CONR′COR″, —NR′C(═N—CN)NR′R″, —C(═N—CN)NR′R″, —NR′C(═N—CN)R″, —NR′C(═C—NO₂)NR′R″, —SO₂NR′COR″, —NO₂, —CO₂R′, —C(C═N—OR′)R″, —CR′═CR′R″, —CCR′, —S(C═O)(C═N—R′)R″, —SF₅ and —OCF₃; R′ and R″ are independently selected from the group consisting of a bond, H, alkyl, cycloalkyl, aryl, heteroaryl, heterocyclic, —C(═O)R, heterocyclyl, each of which is optionally substituted;

represents a bond that may be stereospecific ((R) or (S)) or non-stereospecific; R_(n) comprises a functional group or an atom; n is an integer from 1-10, wherein: when n is 1, R_(n) is modified to be covalently joined to the linker group (L), and when n is 2, 3, or 4, then one R_(n) is modified to be covalently joined to the linker group (L), and any other R_(n) is optionally modified to be covalently joined to a PTM, a CLM, a second CLM having the same chemical structure as the CLM, a CLM′, a second linker, or any multiple or combination thereof.
 18. The compound of any of claim 1-11, 16 or 17, wherein the CLM has a chemical structure represented by:

wherein: W is independently selected from the group CH2, C═O, NH, and N-alkyl; R is independently selected from a H, methyl, alkyl;

represents a bond that may be stereospecific ((R) or (S)) or non-stereospecific; and Rn comprises 1-4 independently selected functional groups or atoms, and optionally, one of which is modified to be covalently joined to a PTM, a chemical linker group (L), a CLM (or CLM′) or combination thereof.
 19. The compound of any of claims 1-11, wherein the ULM is a (MDM2) binding moiety (MLM) with a chemical moiety selected from the group consisting of a substituted imidazolines, a substituted spiro-indolinones, a substituted pyrrolidines, a substituted piperidinones, a substituted morpholinones, a substituted pyrrolopyrimidines, a substituted imidazolopyridines, a substituted thiazoloimidazoline, a substituted pyrrolopyrrolidinones, and a substituted isoquinolinones.
 20. The compound of any of claims 1-11, wherein the ULM is a IAP E3 ubiquitin ligase binding moiety (ILM) comprising the amino acids alanine (A), valine (V), proline (P), and isoleucine (I) or their unnatural mimetics.
 21. The compound of any of claim 1-11 or 20, wherein the ULM is a IAP E3 ubiquitin ligase binding moiety (ILM) comprising a AVPI tetrapeptide fragment or derivative thereof.
 22. The compound of any one of claims 1-21, wherein the linker (L) comprises a chemical structural unit represented by the formula: -(A^(L))_(q)- wherein: (A^(L))_(q) is a group which is connected to at least one of a ULM moiety, a PTM moiety, or a combination thereof; q is an integer greater than or equal to 1; each A^(L) is independently selected from the group consisting of, a bond, CR^(L1)R^(L2), O, S, SO, SO₂, NR^(L3), SO₂NR^(L3), SONR^(L3), CONR^(L3), NR^(L3)CONR″, NR″SO₂NR″, CO, CR^(L1)═CR^(L2), C≡C, SiR^(L1)R^(L2), P(O)R^(L1), P(O)OR^(L1), NR^(L3)C(═NCN)NR″, NR″C(═NCN), NR″C(═CNO₂)NR″, C₃₋₁₁cycloalkyl optionally substituted with 0-6 R^(L1) and/or R^(L2) groups, C₃₋₁₁heterocyclyl optionally substituted with 0-6 R^(L1) and/or R^(L2) groups, aryl optionally substituted with 0-6 R^(L1) and/or R^(L2) groups, heteroaryl optionally substituted with 0-6 R^(L1) and/or R^(L2) groups, where R^(L1) or R^(L2), each independently are optionally linked to other groups to form cycloalkyl and/or heterocyclyl moiety, optionally substituted with 0-4 R^(L5) groups; and R^(L1), R^(L2), R^(L3), R^(L4) and R^(L5) are, each independently, H, halo, C₁₋₈alkyl, OC₁₋₈alkyl, SC₁₋₈alkyl, NHC₁₋₈alkyl, N(C₁₋₈alkyl)₂, C₃₋₁₁cycloalkyl, aryl, heteroaryl, C₃₋₁₁heterocyclyl, OC₁₋₈cycloalkyl, SC₁₋₈cycloalkyl, NHC₁₋₈cycloalkyl, N(C₁₋₈cycloalkyl)₂, N(C₁₋₈cycloalkyl)(C₁₋₈alkyl), OH, NH₂, SH, SO₂C₁₋₈alkyl, P(O)(OC₁₋₈alkyl)(C₁₋₈alkyl), P(O)(OC₁₋₈alkyl)₂, CC—C₁₋₈alkyl, CCH, CH═CH(C₁₋₈alkyl), C(C₁₋₈alkyl)═CH(C₁₋₈alkyl), C(C₁₋₈alkyl)═C(C₁₋₈alkyl)₂, Si(OH)₃, Si(C₁₋₈alkyl)₃, Si(OH)(C₁₋₈alkyl)₂, COC₁₋₈alkyl, CO₂H, halogen, CN, CF₃, CHF₂, CH₂F, NO₂, SF_(S), SO₂NHC₁₋₈alkyl, SO₂N(C₁₋₈alkyl)₂, SONHC₁₋₈alkyl, SON(C₁₋₈alkyl)₂, CONHC₁₋₈alkyl, CON(C₁₋₈alkyl)₂, N(C₁₋₈alkyl)CONH(C₁₋₈alkyl), N(C₁₋₈alkyl)CON(C₁₋₈alkyl)₂, NHCONH(C₁₋₈alkyl), NHCON(C₁₋₈alkyl)₂, NHCONH₂, N(C₁₋₈alkyl)SO₂NH(C₁₋₈alkyl), N(C₁₋₈alkyl) SO₂N(C₁₋₈alkyl)₂, NH SO₂NH(C₁₋₈alkyl), NH SO₂N(C₁₋₈alkyl)₂, NH SO₂NH₂.
 23. The compound according to any of claims 1-20, wherein the linker (L) comprises a group represented by a general structure selected from the group consisting of: N(R)—(CH2)_(m)—O(CH2)_(n)—O(CH2)_(o)—O(CH2)_(p)—O(CH2)_(q)—O(CH2)_(r)-OCH2-, O—(CH2)_(m)—O(CH2)_(n)—O(CH2)_(o)O(CH2)_(p)—O(CH2)_(q)—O(CH2)_(r)-OCH2-, O—(CH2)_(m)—O(CH2)_(n)—O(CH2)_(o)O(CH2)_(p)—O(CH2)_(q)—O(CH2)_(r)—O—; —N(R)—(CH2)_(m)—O(CH2)_(n)—O(CH2)_(o)—O(CH2)_(p)—O(CH2)_(q)—O(CH2)_(r)—O—; —(CH2)_(m)—O(CH2)_(n)—O(CH2)_(o)O(CH2)_(p)—O(CH2)_(q)—O(CH2)_(r)—O—; —(CH2)_(m)—O(CH2)_(n)—O(CH2)_(o)—O(CH2)_(p)—O(CH2)_(q)—O(CH2)_(r)-OCH2-;

wherein each m, n, o, p, q, and r, are independently 0, 1, 2, 3, 4, 5, with the proviso that when the number is zero, there is no N—O or O—O bond, R is selected from the group H, methyl and ethyl, and X is selected from the group H and F;


24. The compound according to any of claims 1-22, wherein the linker (L) is selected from the group consisting of:

wherein each m and n are independently selected from 0, 1, 2, 3, 4, 5, or
 6. 25. The compound according to any of claims 1-22, wherein the linker (L) is selected from the group consisting of:

wherein each m, n, o, p, q, and r is independently 0, 1, 2, 3, 4, 5, 6, or
 7. 26. The compound according to any of claims 1-22, wherein the linker (L) is selected from:


27. The compound according to any of claims 1-22, wherein the linker (L) is a polyethylenoxy group optionally substituted with aryl or phenyl comprising from 1 to 10 ethylene glycol units.
 28. The compound according to any of claims 1-21, wherein the linker (L) comprises the following chemical structure:

wherein: W^(L1) and W^(L2) are each independently a 4-8 membered ring with 0-4 heteroatoms, optionally substituted with RQ, each RQ is independently a H, halo, OH, CN, CF3, C1-C6 alkyl (linear, branched, optionally substituted), C1-C6 alkoxy (linear, branched, optionally substituted), or 2 RQ groups taken together with the atom they are attached to, form a 4-8 membered ring system containing 0-4 heteroatoms; Y^(L1) is each independently a bond, C1-C6 alkyl (linear, branched, optionally substituted) and optionally one or more C atoms are replaced with O; or C1-C6 alkoxy (linear, branched, optionally substituted); n is 0-10; and a dashed line indicates the attachment point to the PTM or ULM moieties.
 29. The compound according to any of claims 1-21, wherein the linker (L) comprises the following chemical structure:

wherein: W^(L1) and W^(L2) are each independently aryl, heteroaryl, cyclic, heterocyclic, C₁₋₆ alkyl, bicyclic, biaryl, biheteroaryl, or biheterocyclic, each optionally substituted with R^(Q), each R^(Q) is independently a H, halo, OH, CN, CF₃, hydroxyl, nitro, C≡CH, C₂₋₆ alkenyl, C₂₋₆ alkynyl, C₁-C₆ alkyl (linear, branched, optionally substituted), C₁-C₆ alkoxy (linear, branched, optionally substituted), OC₁₋₃alkyl (optionally substituted by 1 or more —F), OH, NH₂, NR^(Y1)R^(Y2), CN, or 2 R^(Q) groups taken together with the atom they are attached to, form a 4-8 membered ring system containing 0-4 heteroatoms; Y^(L1) is each independently a bond, NR^(YL1), O, S, NR^(YL2), CR^(YL1)R^(YL2), C═O, C═S, SO, SO₂, C₁-C₆ alkyl (linear, branched, optionally substituted) and optionally one or more C atoms are replaced with O; C₁-C₆ alkoxy (linear, branched, optionally substituted); Q^(L) is a 3-6 membered alicyclic or aromatic ring with 0-4 heteroatoms, optionally bridged, optionally substituted with 0-6 R^(Q), each R^(Q) is independently H, C₁₋₆ alkyl (linear, branched, optionally substituted by 1 or more halo, C₁₋₆ alkoxyl), or 2 R^(Q) groups taken together with the atom they are attached to, form a 3-8 membered ring system containing 0-2 heteroatoms); R^(YL1), R^(YL2) are each independently H, OH, C₁₋₆ alkyl (linear, branched, optionally substituted by 1 or more halo, C₁₋₆ alkoxyl), or R¹, R² together with the atom they are attached to, form a 3-8 membered ring system containing 0-2 heteroatoms); n is 0-10; and a dashed line indicates the attachment point to the PTM or ULM moieties.
 30. The compound according to claim 1, wherein the compound is selected from the group consisting of PROTAC-1 through PROTAC-38.
 31. The compound according to claim 1, wherein at least one of: the PTM is selected from the group consisting of PTM1-PTM18; the linker is selected from the group consisting of Linker1-Linker9; the ULM is selected from the group consisting of ULM1-ULM6; or a combination thereof.
 32. The compound according to claim 1, wherein the PTM is selected from the group consisting of:

wherein R is 5-(4-methyl-1H-imidazol-1-yl) or 4-(N-(4-ethylpiperazin-1-yl)methyl).
 33. A composition comprising an effective amount of a bifunctional compound of any of claims 1-32, and a pharmaceutically acceptable carrier.
 34. The composition of claim 33, wherein the composition further comprises at least one of additional bioactive agent or another bifunctional compound of any of claims 1-32.
 35. The composition of claim 34, wherein the additional bioactive agent is anti-cancer agent.
 36. A composition comprising a pharmaceutically acceptable carrier and an effective amount of at least one compound of any of claims 1-32 for treating a disease or disorder in a subject, the method comprising administering the composition to a subject in need thereof, wherein the compound is effective in treating or ameliorating at least one symptom of the disease or disorder.
 37. The composition of claim 36, wherein the disease or disorder is associated with FLT3 accumulation and aggregation.
 38. The composition of claim 36 or 37, wherein the disease or disorder is a neoplasia or cancer associated with FLT3 accumulation and aggregation.
 39. The composition of any of claims 36-39, wherein the disease or disorder is at least one member selected from the group consisting of squamous-cell carcinoma, basal cell carcinoma, adenocarcinoma, hepatocellular carcinomas, and renal cell carcinomas, cancer of the bladder, bowel, breast, cervix, colon, esophagus, head, kidney, liver, lung, neck, ovary, pancreas, prostate, and stomach; leukemias; benign and malignant lymphomas, particularly Burkitt's lymphoma and Non-Hodgkin's lymphoma; benign and malignant melanomas; myeloproliferative diseases; sarcomas, including Ewing's sarcoma, hemangiosarcoma, Kaposi's sarcoma, liposarcoma, myosarcomas, peripheral neuroepithelioma, synovial sarcoma, gliomas, astrocytomas, oligodendrogliomas, ependymomas, gliobastomas, neuroblastomas, ganglioneuromas, gangliogliomas, medulloblastomas, pineal cell tumors, meningiomas, meningeal sarcomas, neurofibromas, and Schwannomas; bowel cancer, breast cancer, prostate cancer, cervical cancer, uterine cancer, lung cancer, ovarian cancer, testicular cancer, thyroid cancer, astrocytoma, esophageal cancer, pancreatic cancer, stomach cancer, liver cancer, colon cancer, melanoma; carcinosarcoma, Hodgkin's disease, Wilms' tumor and teratocarcinomas.
 40. The composition of any of claims 36-39, wherein the disease or disorder is at least one of T-lineage Acute lymphoblastic Leukemia (T-ALL), T-lineage lymphoblastic Lymphoma (T-LL), Peripheral T-cell lymphoma, Adult T-cell Leukemia, Pre-B ALL, Pre-B Lymphomas, Large B-cell Lymphoma, Burkitts Lymphoma, B-cell ALL, Philadelphia chromosome positive ALL and Philadelphia chromosome positive CML. 